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Reporte zur Charge 009D21Ap

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

380Reporte angezeigt
7Todesfaelle
47Hospitalisiert
1Lebensbedrohlich
4Bleibende Schaeden
TX 37 FL 34 CA 21 MO 15 VA 14 NY 14 PA 12 OH 11 MA 11 GA 11 NC 10 MI 10

VAERS 2680053

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
-
Alter
91,0
Geschlecht
F
Eingang
07.09.2023
Impfdatum
20.06.2021
Beginn
30.07.2023
Tage bis Beginn
770,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute respiratory failure Asthenia COVID-19 COVID-19 pneumonia Cardiomyopathy Catheterisation cardiac abnormal Chest X-ray normal Chronic obstructive pulmonary disease Condition aggravated Coronary artery disease Cough Depression Dyspnoea Ejection fraction normal Gastrooesophageal reflux disease Hypertension Positive airway pressure therapy Pulmonary hypertension

Symptomtext

Patient is a 93 y.o. female patient of MD with PMH of COPD, CAD presented to the ED due to SOB and weakness. Treated for COPD/Covid. Discharged to hospice care Acute on chronic hypoxemic respiratory failure COPD Secondary to COVID pneumonia, COPD Required Bipap in ED, but was weaned down to NC. Home requirement is 2L Tachypnea slowly improved during admission Pulm toilet Scheduled bronchodilators. Covid-19 Virus Infection Date of onset of symptoms: 2 days(7/28/23) Symptoms present on admission: SOB, cough, weakness. Date of covid positive test: 7/30/23 Vaccination status: vaccinated Imaging: CXR no consolidation Current oxygen requirements: 2L NC Medical therapy: steroids Anticipated special isolation end date: 8/8/23 CAD Non-ischemic cardiomyopathy LHC 7/10/23 with severe multi vessel disease, not amenable to PCI nor a surgical candidate, recommending medical management. EF 7/2023 EF 60%, pulm HTN 48 mmHg Resume home plavix, imdur, metoprolol, ranexa, statin. Depression Lexapro GERD Omeprazole, pepcid. HTN Cozaar Goals of Care Discussed code status, in agreement for DNRCCA-DNI Palliative consulted, family prefers home with hospice

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2569986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
-
Alter
68,0
Geschlecht
F
Eingang
28.01.2023
Impfdatum
25.06.2021
Beginn
09.01.2023
Tage bis Beginn
563,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury Acute respiratory failure Atrial fibrillation Blood creatinine increased Blood gases Blood potassium increased Blood thyroid stimulating hormone normal COVID-19 COVID-19 pneumonia Cardiac failure Chest X-ray abnormal Chronic kidney disease Diastolic dysfunction Diuretic therapy Dyspnoea Echocardiogram abnormal Ejection fraction decreased Hyperkalaemia

Symptomtext

Assessment and Plan Patient is a 70 y.o. female patient of local DO with history of COPD/asthma, hypertension, CAD status post CABG, hyperlipidemia presented to a local Hospital with shortness of breath. Shortness of breath Acute hypoxemic respiratory failure On 2 L nasal cannula in no acute respiratory distress VBG; 7.38/48.6/30 X-ray with increased distal markings suggesting pulmonary edema small bilateral pleural effusion proBNP 962 increased from baseline 545 a year ago Etiology of acute hypoxemic respiratory failure likely multifactorial. Presumed heart failure with preserved ejection fraction and in the setting of COVID pneumonia. Continued oxygen therapy and titrate as tolerated Evaluated for home oxygen, she qualifies for home oxygen. Face-to-face evaluation performed for home oxygen. Covid-19 Virus Infection Date of onset of symptoms: 1/8/2023 Symptoms present on admission: Shortness of breath Date of covid positive test: 1/9/2023 Vaccination status: vaccinated Imaging: Chest x-ray?vascular congestion with increased interstitial lung markings, small bilateral pleural effusions Oxygen requirements on admission: 2 L Current oxygen requirements: 2L Medical therapy: steroids Consultants following: Infectious disease Continue dexamethasone 6 mg daily to complete a 10-day course New onset A. fib with RVR. Heart rate fairly controlled at rest but was for a short on 1/11 in the 140s to 150 range with activities 2D echocardiogram showed EF of 40% which is unchanged from July 2021. Consulted cardiology for input. TSH is normal. Cardiology recommended Eliquis. Continue current dose of carvedilol. Acute on chronic HFrEF CAD status post CABG Essential hypertension Echo 3/21 with EF 40% with grade 2 diastolic dysfunction On home carvedilol and Lasix Started on Lasix 40 mg IV twice daily Resume home carvedilol and losartan at discharge Resume home ASA, ezetimibe, statin Hold Aldactone at discharge due to hyperkalemia Follow-up with cardiology as outpatient. AKI on CKD 3B Creatinine on admission 2.80, now 2.66 Baseline creatinine 1.37 about a year ago Etiology likely multifactorial in the setting of nephrotoxic medications, acute HFrEF, COVID-19 Management as above Avoid nephrotoxins?holding home spironolactone and losartan Creatinine slightly increased because of diuresis. Follow-up with PCP for close monitoring. Hyperkalemia-resolved Potassium 5.4--- >4.9 Patient was on losartan and Aldactone at home. Will discontinue Aldactone at discharge. COPD/asthma Without exacerbation Denies any smoking currently Resume home inhalers Gout Resume home allopurinol Hyperlipidemia Resume home ezetimibe and statin Morbid obesity Body mass index is 41.27 kg/m?. Lifestyle modification

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2338907

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
TX
Alter
80,0
Geschlecht
F
Eingang
28.06.2022
Impfdatum
04.01.2022
Beginn
24.06.2022
Tage bis Beginn
171,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury COVID-19 Death Endotracheal intubation Hyperthermia Inappropriate schedule of product administration Intensive care Lactic acidosis Leukocytosis Mental status changes Pyrexia Respiratory failure SARS-CoV-2 test positive Sepsis Unresponsive to stimuli

Symptomtext

Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 6/11/21, 7/12/21 and 1/04/22. Presented to the ED via EMS after being found unresponsive in her home, O2 sat of 80% and placed on O2 by EMS. Intubated in ED, fever 105.8 rectally, cooling was initiated. Leukocytosis, acute kidney injury, lactic acidosis. Admitted for UT, AKI, resp failure, AMS, hyperthermia and severe sepsis. Administered IV fluids and abx, transferred to ICU. Previously elected DNR status. Tx'd with decadron, ampicillin, and cefepime. Expired on 6/24/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
1,0
Labordaten
Covid + 6/23/22; This sample was analyzed using the Roche LIAT SARS assay platform using PCR or equivalent Nucleic Acid Amplification (NAA) technology.
Aktuelle Erkrankungen
-
Vorgeschichte
PAF, complete heart block s/p PPM,HLD, hypothyroidism, seizure disorder, pulmonary sarcoidosis, COPD on home O2, PAH, mitral stenosis s/p tissue valve replacement
Andere Medikamente
alprazolam, aspirin, baclofen, buspirone, duloxetine, fluticasone/salmeterol, fluticasone, furosemide, gabapentin, ipratropium/albuterol, levetiracetem, levothyroxine, meclizine, montelukast, multivitamin, nystatin, oxycodone, pravastatin,
Allergien
Clindamycin, codeine, sulfa antibiotics, penicillins
Vorherige Impfungen
-

VAERS 2338907

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
TX
Alter
80,0
Geschlecht
F
Eingang
28.06.2022
Impfdatum
04.01.2022
Beginn
24.06.2022
Tage bis Beginn
171,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury COVID-19 Death Endotracheal intubation Hyperthermia Inappropriate schedule of product administration Intensive care Lactic acidosis Leukocytosis Mental status changes Pyrexia Respiratory failure SARS-CoV-2 test positive Sepsis Unresponsive to stimuli

Symptomtext

Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 6/11/21, 7/12/21 and 1/04/22. Presented to the ED via EMS after being found unresponsive in her home, O2 sat of 80% and placed on O2 by EMS. Intubated in ED, fever 105.8 rectally, cooling was initiated. Leukocytosis, acute kidney injury, lactic acidosis. Admitted for UT, AKI, resp failure, AMS, hyperthermia and severe sepsis. Administered IV fluids and abx, transferred to ICU. Previously elected DNR status. Tx'd with decadron, ampicillin, and cefepime. Expired on 6/24/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
1,0
Labordaten
Covid + 6/23/22; This sample was analyzed using the Roche LIAT SARS assay platform using PCR or equivalent Nucleic Acid Amplification (NAA) technology.
Aktuelle Erkrankungen
-
Vorgeschichte
PAF, complete heart block s/p PPM,HLD, hypothyroidism, seizure disorder, pulmonary sarcoidosis, COPD on home O2, PAH, mitral stenosis s/p tissue valve replacement
Andere Medikamente
alprazolam, aspirin, baclofen, buspirone, duloxetine, fluticasone/salmeterol, fluticasone, furosemide, gabapentin, ipratropium/albuterol, levetiracetem, levothyroxine, meclizine, montelukast, multivitamin, nystatin, oxycodone, pravastatin,
Allergien
Clindamycin, codeine, sulfa antibiotics, penicillins
Vorherige Impfungen
-

VAERS 2306956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
MI
Alter
54,0
Geschlecht
F
Eingang
02.06.2022
Impfdatum
01.08.2021
Beginn
20.02.2022
Tage bis Beginn
203,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Acute respiratory failure Asthenia COVID-19 COVID-19 pneumonia Chest discomfort Condition aggravated Endotracheal intubation Haemophilus infection Hypoaesthesia Influenza like illness Pneumonia bacterial Pneumonia haemophilus SARS-CoV-2 test positive Superinfection

Symptomtext

Pt was initially admitted 2/12 for 3-day history of bilateral hand and feet numbness as well as generalized weakness and chest discomfort. She had a flu like infection 4 weeks PTA. COVID positive 2/20. Hospital course was complicated by Covid pneumonia with superimposed Haemophilus influenzae bacterial pneumonia and acute hypoxic respiratory failure requiring intubation and vasopressors. Infectious disease followed the patient and initially treated her with baricitinib, cefepime and Decadron. Out of Covid isolation and continued to receive cefepime. Pt xtubated on 2/25. Pt was discharged with 3 L O2 on 3/18.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
36,0
Labordaten
see above
Aktuelle Erkrankungen
None
Vorgeschichte
Chronic obstructive pulmonary disease with acute exacerbation, Chronic obstructive pulmonary disease with acute exacerbation Pneumonia due to COVID-19 virus Acute respiratory failure with hypoxia Hemorrhoids Endocrine Hypothyroidism Chronic Abdominal pain Morbid obesity (BMI 40-49.9) Hypertensive crisis Nausea Constipation Morbid obesity HLD (hyperlipidemia) Depression Leukocytosis Periumbilical abdominal pain Chest pain, unspecified type Guillain Barr? syndrome Protein-calorie malnutrition, mild Reactive thrombocytosis Transaminitis Neurologic gait dysfunction Impaired mobility and ADLs Elevated troponin Obesity (BMI 30-39.9) Essential hypertension Constipation Suprapubic tenderness Urinary retention Muscle spasms of both lower extremities Onychomycosis Anemia due to folic acid deficiency
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2129333

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
TX
Alter
67,0
Geschlecht
M
Eingang
21.02.2022
Impfdatum
02.07.2021
Beginn
13.02.2022
Tage bis Beginn
226,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute respiratory failure Atrial fibrillation Bacterial infection Bronchoalveolar lavage abnormal COVID-19 Cardiac arrest Cardioversion Catheter placement Computerised tomogram thorax abnormal Death Diabetic ketoacidosis Endotracheal intubation Enterococcal infection Haemodialysis Intensive care Mental status changes Pulmonary embolism Pulseless electrical activity

Symptomtext

Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccine on 6/04/21 and 7/02/21 Covid + 1/19/22. Presented to ED 1/24/22 for DKA and acute hypoxemic resp failure 2/2 COVID intubated in ED 2/2 altered mental status c/b 2 episodes of V-fib/PEA arrest. ROSC achieved both times, admitted to ICU. Febrile on 1/29. BAL 1/29 shows MRSA, enterococcus, G- rods. Extubated on 01/31 to HFNC with increasing O2 requirments. Altered on 2/4, reintubated for airway protection. HD catheter placed 2/6, started dialysis. Afib with RVR noted 2/6, s/p DCCV x2. PEA arrest 2/13 after transport for a CT PE, findings of LUL PE. ROSC achieved but then went into VTach, the asystole. Treated with remdesivir and dexamethasone. Expired 02/13/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
20,0
Labordaten
1/19/22 Covid +:This sample has been tested on the Quidel Sofia platform which detects Sars-COV2 antigen.
Aktuelle Erkrankungen
-
Vorgeschichte
DM1, centrilobular emphysema, CAD, dyslipidemia, HTN, CKD3a,
Andere Medikamente
-
Allergien
Vancomycin, iodine contrast, morphine, NSAIDs, Penicillins, sulfa drugs
Vorherige Impfungen
-

VAERS 1988616

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
-
Alter
-
Geschlecht
F
Eingang
29.12.2021
Impfdatum
17.06.2021
Beginn
09.10.2021
Tage bis Beginn
114,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Anticoagulant therapy COVID-19 pneumonia Chest discomfort Cough Dyspnoea Fatigue Headache Malaise Pulmonary embolism Pyrexia SARS-CoV-2 test positive Tachycardia

Symptomtext

Patient presents to the ER with a 2 day history of dyspnea. She reports she is fully vaccinated for Covid. She expresses concerns that she may have contracted Covid regardless. She endorses a dry nonproductive cough. She complains of generalized malaise and fatigue. He also endorses moderate dyspnea. She complains of fever and an aching chest discomfort as well. Patient did test positive for Covid 19 pneumonia within the emergency department. Suspicion was high for pulmonary embolism given her history of DVT as well as Covid 19 pneumonia, tachycardia. She was unable to undergo a CTA PE protocol scan due to contrast allergy. A V/Q scan is pending. Patient was started on a heparin drip and admitted for further observation. Patient noted to be saturating greater than 95% on room air. Tachycardia has now resolved. On interview at the bedside patient currently has no acute complaints. She does complain of a chronic nagging cough. She also complains of a headache for which Motrin will be given. Discharged to home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1853611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
MI
Alter
60,0
Geschlecht
M
Eingang
09.11.2021
Impfdatum
19.06.2021
Beginn
27.10.2021
Tage bis Beginn
130,0
Dosis
2
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute kidney injury Acute respiratory distress syndrome Atrial fibrillation COVID-19 COVID-19 pneumonia Condition aggravated Death Debridement Diabetic ketoacidosis Endotracheal intubation Extubation General physical health deterioration Hypercapnia Hypervolaemia Hypoxia Infection Intensive care Mechanical ventilation

Symptomtext

Hospitalized 10/26/2021; COVID-19 positive 10/27/2021, fully vaccinated BRIEF OVERVIEW: Discharge Provider: DOCTOR Primary Care Physician at Discharge: DOCTOR Admission Date: 10/26/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Septic shock HOSPITAL COURSE: Patient is a 60 year old male with PMH of HTN, HLD, DMII, super morbid obesity who initially presented to outside hospital with a 2-3 day history of right groin rash and found to have necrotizing fascitis. Patient underwent his initial debridement at outside hospital prior to transferring to Butterworth SICU. Of note, patient was hypoxic prior to intubation and found to have COVID-19 pneumonia which was treated with steroids and Remdesivir. Patient was intubated and sedated upon transfer and had pressor requirements due to septic shock from the necrotizing fascitis. Patient underwent IV abx therapy, resuscitation with fluids and pressors, and ventilator support. Patient underwent a second debridement for source control the following day. Patient's ICU course was also complicated by Diabetic ketoacidosis for which he was on endotool with DGMS following, AKI, and SVT with RVR. During his ICU course, source control was obtained from his infection, however patient's respiratory status continued to decline with ARDS. Patient on high ventilator requirements of 90-100% Fi02 with hypercarbia due to large body habitus with chest wall restrction, COVID-19, and volume overload due to resuscitation for septic shock. Patient was paralyzed during his course to assist with ventilation however this did not improve his respiratory status. Pulmonary critical care was consulted however patient not a candidate for ECMO given his BMI. Discussion was held with family (sister) on 10/31/21 given poor prognosis even with aggressive therapy. Comfort care was ultimately decided upon per family. Paralyzation was stopped and patient was subsequently extubated and expired on 10/31/2021 at 1354

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Sleep apnea Acute respiratory failure with hypoxia Primary hypertension Venous stasis ulcer of left calf limited to breakdown of skin with varicose veins Peripheral venous insufficiency PAF (paroxysmal atrial fibrillation) Morbidly obese Necrotizing fasciitis Septic shock Tobacco dependence Type 2 diabetes mellitus without complication, without long-term current use of insulin Hyperlipidemia, unspecified hyperlipidemia type DKA, type 2, Diabetic ulcer of toe of left foot associated with type 2 diabetes mellitus
Andere Medikamente
ascorbic acid (VITAMIN C) 1000 MG tablet atorvastatin (LIPITOR) 20 MG tablet hydrochlorothiazide (HYDRODIURIL) 50 MG tablet metFORMIN (GLUCOPHAGE) 500 MG tablet metoprolol succinate-XL (TOPROL-XL) 100 MG 24 hr tablet Omega-3 Fatty Acids (FI
Allergien
NKA
Vorherige Impfungen
-

VAERS 1833098

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
FL
Alter
27,0
Geschlecht
M
Eingang
01.11.2021
Impfdatum
02.08.2021
Beginn
04.08.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Activated partial thromboplastin time prolonged Alanine aminotransferase increased Anion gap increased Aspartate aminotransferase increased Blood albumin normal Blood alkaline phosphatase normal Blood bicarbonate decreased Blood bilirubin normal Blood calcium decreased Blood chloride normal Blood creatine phosphokinase normal Blood creatinine increased Blood glucose normal Blood lactic acid Blood magnesium increased Blood osmolarity normal Blood pH decreased Blood phosphorus increased

Symptomtext

According to his mother, Pt received his second dose of the Moderna COVID-19 vaccine on August 2, 2021. Two days later, on August 4, 2021, he complained of not feeling well. He could not provide specific symptoms, but said that it involved his entire body and was not like anything he had ever experienced before. The following day, on August 5, 2021 he was found unresponsive on a train. He was subsequently hospitalized and pronounced deceased on 08/09/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
8/5/2021: Potassium 5.0 mmol/L pH 6.78 pCO2 87 mm HG pO2 312 mmHG HCO3 13 mm/L APTT 44 seconds Glucose 170 mg/dL Sodium 144 mmol/L Potassium 4.7 mmol/L Chloride 102 mmol?L Anion Gap 26 Osmolality calculated 294 mOsm/kg BUN 19 mg/dL Cr 1.30 mg/dL Calcium 8.6 mg/dL Total protein 6.1 g/dL Albumin 3.9 g/dL Total bilirubin 0.3 mg/dL AST 2167 units/L ALT 2250 units/L Alkaline phosphatase 92 units/L Magnesium 2.9 mg/dL Phosphorous 12.7 mg/dL Troponin I 0.383 ng/ml CPK 114 unit/L NT-proBNP 510.0 pg/mL lactic acid 16.5 mmol/L WBC count 8.3 x 10(3)/mcL RBC count 4.67 x 10(6)/mcL Hemoglobin 13.1 g/dL Hematocrit 45.4 percent MCV 97.2 fL MCH 28.1 pg MCHC 28.9 g/dL Platelet count 234 x 10(3)/mcl *Multiple other laboratory values available since he was hospitalized for 4 days - will be cumbersome to manually write them all in here. I am able to provide them at a later date if necessary.
Aktuelle Erkrankungen
None
Vorgeschichte
History of substance abuse
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1428029

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
GA
Alter
32,0
Geschlecht
F
Eingang
25.08.2021
Impfdatum
23.06.2021
Beginn
23.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

Vaccine injected on 6/23/2021 and she was found deceased on 6/24/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
Still awaiting an autopsy report
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1513382

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
-
Alter
54,0
Geschlecht
M
Eingang
29.07.2021
Impfdatum
28.06.2021
Beginn
02.07.2021
Tage bis Beginn
4,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Blood osmolarity decreased Cerebrovascular accident Facial paresis Hyponatraemia

Symptomtext

I63.9 - CVA (cerebral vascular accident) I63.9 - Stroke determined by clinical assessment N17.9 - Acute kidney failure, unspecified E87.1 - Hypo-osmolality and hyponatremia R29.810 - Facial weakness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1422512

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

kritisch
Staat
NY
Alter
70,0
Geschlecht
F
Eingang
23.06.2021
Impfdatum
03.06.2021
Beginn
12.06.2021
Tage bis Beginn
9,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: unbekannt Erholt: nein
Acute myocardial infarction Angina unstable Angiogram pulmonary abnormal Anticoagulant therapy Arthralgia Cardiopulmonary bypass Chest pain Condition aggravated Coronary artery bypass Coronary artery disease Dyspnoea Echocardiogram abnormal Ejection fraction decreased Electrocardiogram QRS complex abnormal Hyperhidrosis Hypokinesia Infusion Left ventricular hypertrophy

Symptomtext

Patient is a very pleasant 70-year-old female with a past medical history significant for type 2 diabetes, hyperlipidemia, hyperthyroidism, depression and past history of coronary artery disease/inferior wall MI in 2001 resulting in PCI who presented to the emergency room on 6.18 with a chief complaint of recurrent substernal chest pain that has been occurring since it started suddenly on June 12 associated with nausea, two episodes of vomiting and sweating. She reported prior to that she was in her usual state of health. She admits to a chronic issue with going up her 28 stairs in her home but reports that there has been no change in the shortness of breath pattern doing the stairs or in her usual joint pain doing the stairs up until this past Saturday. She denied any recent illness any fever or chills any diarrhea or any abdominal pain. She just had her second Covid vaccine on June 6. She takes an aspirin and atorvastatin and tries to control her blood sugars.She last had an echocardiogram in August 2018 as well as a stress echo which revealed a normal ejection fraction and findings consistent with an RCA/PDA distribution abnormality there was no significant valvular abnormalities or other stress-induced regional wall motion abnormalities. In the emergency room she received nitroglycerin paste, morphine and an aspirin and then was started on a heparin drip at the direction of cardiology. She was admitted with a NSTEMI and unstable angina and transferred to a higher level of care on 6/21 where coronary angiogram, showed severe left main and 2 vessel CAD. She was then referred for emergent CABG and on 6/21 she underwent CORONARY ARTERY BYPASS GRAFTING; LIMA-LAD; ENDOSCOPIC VEIN HARVEST OF THE LEFT GREATER SAPHENOUS VEIN; SVG-MARG; SVG-PDA; ON CARDIOPULMONARY BYPASS . She remains hospitalized as of 6/23/21 on open heart.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
7,0
Labordaten
HS troponin 2824 delta 2312 ekg Normal sinus rhythm. LVH with repol changes and QRS widening. echo ef 40-45%. Inferior and inferolateral hypokinesis
Aktuelle Erkrankungen
none
Vorgeschichte
DM-2, hx cad/ptci 2001, arthritis, hyperlipidemia, hyperthyroidism
Andere Medikamente
aspirin, lipitor , celexa, tapazole, lantus, meloxican
Allergien
none
Vorherige Impfungen
-

VAERS 2583899

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NJ
Alter
50,0
Geschlecht
M
Eingang
18.02.2023
Impfdatum
10.07.2021
Beginn
01.10.2022
Tage bis Beginn
448,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Limb injury Thrombosis

Symptomtext

One month later they found 1 clot in the left wrist and 4 clots in the left leg.; work related injury to his left leg; doctor found a clot in his left leg; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (doctor found a clot in his left leg) and THROMBOSIS (One month later they found 1 clot in the left wrist and 4 clots in the left leg.) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 042J21A, 059E21A and 009D21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Patient was totally healthy prior to vaccination. Patient was not on any medications prior or during vaccination. Patient did not receive any other vaccines within 4 weeks of all 3 doses. On 10-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Feb-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In October 2022, the patient experienced THROMBOSIS (doctor found a clot in his left leg) (seriousness criterion medically significant) and LIMB INJURY (work related injury to his left leg). In November 2022, the patient experienced THROMBOSIS (One month later they found 1 clot in the left wrist and 4 clots in the left leg.) (seriousness criterion medically significant). At the time of the report, THROMBOSIS (doctor found a clot in his left leg), THROMBOSIS (One month later they found 1 clot in the left wrist and 4 clots in the left leg.) and LIMB INJURY (work related injury to his left leg) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered THROMBOSIS (doctor found a clot in his left leg) and THROMBOSIS (One month later they found 1 clot in the left wrist and 4 clots in the left leg.) to be related. No further causality assessment was provided for LIMB INJURY (work related injury to his left leg). No concomitant medications were reported. It was reported that patient was totally healthy prior to vaccination. Patient had a work related injury to his left leg, went to the doctor, and they found a clot in his left leg. One month later, they found 1 clot in the left wrist and 4 clots in the left leg. Patient stated that the doctor told the clots may have been because of the vaccine. Patient reported that within 4 weeks of all 3 doses did not have any other vaccines and was not on any medications prior or during vaccination. No treatment medications were reported. Company comment: This is a spontaneous case reported by a consumer regarding a 50-year-old male patient, with no medical history, who received 3 doses of mRNA-1273 vaccine and experienced unexpected and medically significant events of thrombosis (AESI) after receiving the third dose. According to the report, approximately 8 months after last vaccination, patient had a work related injury to his left leg, he went to the doctor and a clot in his left leg was found. One month later, 1 clot in the left wrist and 4 clots in the left leg were found. Doctor told him that the clots may have been because of the vaccine. At the time of the report, the outcome was unknown. No further details regarding clinical course, diagnostic tests or treatment performed were disclosed. The work related injury to his left leg and the clot found in his left leg could be mutually connected. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: Patient was totally healthy prior to vaccination. Patient was not on any medications prior or during vaccination. Patient did not receive any other vaccines within 4 weeks of all 3 doses.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2581579

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NJ
Alter
49,0
Geschlecht
M
Eingang
14.02.2023
Impfdatum
08.02.2022
Beginn
18.10.2022
Tage bis Beginn
252,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Accident at work Activated partial thromboplastin time Activated protein C resistance Anticoagulant therapy Beta-2 glycoprotein antibody Blood fibrinogen Blood gases Cardiac telemetry Cardiolipin antibody Differential white blood cell count Electrocardiogram Fibrin D dimer Full blood count Gene mutation identification test International normalised ratio increased Laboratory test Meniscus injury Metabolic function test

Symptomtext

After work injury on 10/4/22, detected blood clot in lower left leg on 10/18/22. Injury to pes anserine plus small tear in medial meniscus. Doppler confirmed clot on 10/26/22. 5mg of Eliquis prescribed by Local Medical Center on 10/26/22. Drove to alternate Medical Center on 11/24 with pain. New clots detected in hospital. Now it was 4 clots in the lower left leg and 1 clot in the left wrist. Hospital said Eliquis failure. INR was 1.0. Spent 6 days in hospital transitioning from heparin IV to Warfarin, 5mg given. INR climbed to 3.25, then warfarin lowered to 4mg. Current INR remains around 2.7. Next doppler to be given on 4/17/23, expect clots to be gone by then. Current orthopedic states that timing and

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
6,0
Labordaten
initial doppler done by Local Medical Imaging on 10/26/22. Tests done on 10/26/22 by Local Medical Center: Blood Gas, venous 3, CBC wit
Aktuelle Erkrankungen
unknown
Vorgeschichte
minor heart aorta issue - monitored by Dr.
Andere Medikamente
multivitamin
Allergien
unknown
Vorherige Impfungen
-

VAERS 2051020

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
NJ
Alter
23,0
Geschlecht
F
Eingang
20.01.2022
Impfdatum
18.06.2021
Beginn
23.12.2021
Tage bis Beginn
188,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Chest pain Chills Laboratory test normal Myocarditis Pain Pain in extremity Pain in jaw Vomiting

Symptomtext

On 12/23/21 I had chills and body aches, on 12/24/21 started with chest pain, thought it was heartburn, then on 12/25/21 i went to emergency room with chest pain, vomitting, pain in jaw and arms. I was admitted. the diagnosis was myocarditis. was advised to report the findings.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
3,0
Labordaten
tested neg 3 times during hospital stay, all negative.
Aktuelle Erkrankungen
no
Vorgeschichte
-
Andere Medikamente
none
Allergien
unknown
Vorherige Impfungen
-

VAERS 2018197

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
80,0
Geschlecht
M
Eingang
08.01.2022
Impfdatum
02.07.2021
Beginn
03.01.2022
Tage bis Beginn
185,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Chills Cough Oropharyngeal pain Pain Pyrexia SARS-CoV-2 test positive Syncope Vaccine breakthrough infection

Symptomtext

Covid19 Breakthrough. 1st vaccine received on 06/04/2021. 80 y/o presents with hx of testing + for covid19 2 days ago and now returns with continued c/o sore throat, cough, fever, chills, body aches and syncopal episodes x2 lasting several minutes. Pt receiving low dose steroids.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
SARS CoV 2 PCR Covid19- Detected 01/03/2022
Aktuelle Erkrankungen
-
Vorgeschichte
Gour, HTN, HLD, CKD-3, TURBT, TURP, BPH
Andere Medikamente
-
Allergien
PCN
Vorherige Impfungen
-

VAERS 1897568

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NM
Alter
74,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
04.06.2021
Beginn
11.06.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Gait inability Pain in extremity Thrombosis

Symptomtext

June 4th pain in arm initially, pain in legs like arthritis by June 11 could not walk, 3 days later went to the Hospital and found her to have blood clots

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
unknown
Vorgeschichte
obesity and hypertension
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1837131

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
76,0
Geschlecht
M
Eingang
02.11.2021
Impfdatum
13.05.2021
Beginn
21.07.2021
Tage bis Beginn
69,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anticoagulant therapy Deep vein thrombosis Pain in extremity Peripheral swelling Ultrasound Doppler abnormal

Symptomtext

Patient developed pain and swelling in LLE about 2 weeks after receiving vaccine and was diagnosed with DVT. He has no other risk factors and was initially considered an unprovoked DVT, however, when he shared is vaccine information with us, we felt that it was best to report it. He was treated with starting dose of Eliquis 10mg BID x7 days and is now on maintenance dose of 5mg BID.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
venous duplex 7/21/21, 8/24/21, and 10/21/21 all results include LLE thrombosis in left SFV, left popliteal (non occlusive), and left posterior tibial (occlusive)
Aktuelle Erkrankungen
none
Vorgeschichte
CAD with CABG 2013
Andere Medikamente
Aspirin 81mg daily rosuvastatin 20mg daily
Allergien
sulfa, clindamycin
Vorherige Impfungen
-

VAERS 1516360

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
WA
Alter
74,0
Geschlecht
F
Eingang
12.10.2021
Impfdatum
15.07.2021
Beginn
16.07.1921
Tage bis Beginn
-
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anxiety Electric shock sensation Fatigue Fear Feeling abnormal Back pain Blood test Chest discomfort Dizziness Electrocardiogram Head discomfort Headache Heart rate irregular Hypotension Injection site erythema Pain Palpitations Pyrexia

Symptomtext

1st day after vax shot, had buzzing ?feelers? up back of head from bottom to top (2 left side; 1 right side). A few hours later had severe migraine type headache that kept me awake all night. In morning left arm had very large, swollen red spot where inject was. Could not touch , as it was so painful. From that day forward, had dizziness that some days was way worse than others, and continued for two plus months. Approximately 2+ weeks after vax, I had strange pain in my lower back that then moved to my pelvic area. Approximately 3+ weeks after vax, while in bed, I had a strange tight slightly painful band move across my chest from right to left. I took natural supplements and took buffered aspirin and CoQ10 After that subsided, during the day, my heart began beating strange,y. After that episode, during the day, I nearly fainted from low blood pressure. At times, I could feel my blood pressure very high, with frontal headache pressure. My heart started beating oddly, sometimes skipping a beat, double beating, rapid-fire beating, and very slowly beating. I?ve NEVER had any heart conditions prior to getting vax. After dealing with this for awhile, I went to Hospital. I am seeing Dr, on Thursday, Oct 14, 2021 for follow up

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electric shock sensation
Hospital-Tage
-
Labordaten
EKGs Bloodwork X-rays Records worth Hospital and Dr. as noted on precious page
Aktuelle Erkrankungen
None
Vorgeschichte
Thyroid
Andere Medikamente
Thyroid Thryozyme Z14
Allergien
Severe allergy to morphine Penicillin Sensitivity to most chemical meds - usually have to cut in half or quarter
Vorherige Impfungen
-

VAERS 1516360

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 009d21a

schwer
Staat
WA
Alter
74,0
Geschlecht
F
Eingang
12.10.2021
Impfdatum
15.07.2021
Beginn
16.07.1921
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anxiety Electric shock sensation Fatigue Fear Feeling abnormal Back pain Blood test Chest discomfort Dizziness Electrocardiogram Head discomfort Headache Heart rate irregular Hypotension Injection site erythema Pain Palpitations Pyrexia

Symptomtext

1st day after vax shot, had buzzing ?feelers? up back of head from bottom to top (2 left side; 1 right side). A few hours later had severe migraine type headache that kept me awake all night. In morning left arm had very large, swollen red spot where inject was. Could not touch , as it was so painful. From that day forward, had dizziness that some days was way worse than others, and continued for two plus months. Approximately 2+ weeks after vax, I had strange pain in my lower back that then moved to my pelvic area. Approximately 3+ weeks after vax, while in bed, I had a strange tight slightly painful band move across my chest from right to left. I took natural supplements and took buffered aspirin and CoQ10 After that subsided, during the day, my heart began beating strange,y. After that episode, during the day, I nearly fainted from low blood pressure. At times, I could feel my blood pressure very high, with frontal headache pressure. My heart started beating oddly, sometimes skipping a beat, double beating, rapid-fire beating, and very slowly beating. I?ve NEVER had any heart conditions prior to getting vax. After dealing with this for awhile, I went to Hospital. I am seeing Dr, on Thursday, Oct 14, 2021 for follow up

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electric shock sensation
Hospital-Tage
-
Labordaten
EKGs Bloodwork X-rays Records worth Hospital and Dr. as noted on precious page
Aktuelle Erkrankungen
None
Vorgeschichte
Thyroid
Andere Medikamente
Thyroid Thryozyme Z14
Allergien
Severe allergy to morphine Penicillin Sensitivity to most chemical meds - usually have to cut in half or quarter
Vorherige Impfungen
-

VAERS 1707594

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
43,0
Geschlecht
U
Eingang
17.09.2021
Impfdatum
06.08.2021
Beginn
13.08.2021
Tage bis Beginn
7,0
Dosis
UNK
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Air embolism Vaccination site pain

Symptomtext

sensation of bubbles on the blood vessels of the leg, that later extended to the arm and hand.; pain at the site of the injection (upper right arm); This spontaneous case was reported by a consumer and describes the occurrence of AIR EMBOLISM (sensation of bubbles on the blood vessels of the leg, that later extended to the arm and hand.) in a 43-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Aug-2021, the patient experienced AIR EMBOLISM (sensation of bubbles on the blood vessels of the leg, that later extended to the arm and hand.) (seriousness criterion medically significant) and VACCINATION SITE PAIN (pain at the site of the injection (upper right arm)). At the time of the report, AIR EMBOLISM (sensation of bubbles on the blood vessels of the leg, that later extended to the arm and hand.) and VACCINATION SITE PAIN (pain at the site of the injection (upper right arm)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided Treatment information included ashubanda to try and alleviate the symptoms. Company Comment: This case concerns a 43-year-old patient of an unknown gender, who experienced the unexpected event of Air embolism, and expected event of Vaccination site pain. The events occurred approximately 8 days after the first dose of mRNA-1273 (Moderna COVID-19 Vaccine). The event Vaccination site pain is consistent with the known safety profile. The benefit-risk relationship of drug mRNA-1273 (Moderna COVID-19 Vaccine) in not affected by this report.; Sender's Comments: This case concerns a 43-year-old patient of an unknown gender, who experienced the unexpected event of Air embolism, and expected event of Vaccination site pain. The events occurred approximately 8 days after the first dose of mRNA-1273 (Moderna COVID-19 Vaccine). The event Vaccination site pain is consistent with the known safety profile. The benefit-risk relationship of drug mRNA-1273 (Moderna COVID-19 Vaccine) in not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Air embolism
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1682529

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NC
Alter
37,0
Geschlecht
F
Eingang
08.09.2021
Impfdatum
10.06.2021
Beginn
10.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein
Blood test Computerised tomogram Echocardiogram Electrocardiogram Electrocardiogram ambulatory Migraine Presyncope Syncope

Symptomtext

1. Migraine; Gabapentin, tylenol, and Fioricet : 2 hours after for 5 days. 2. Syncope/near Syncope; Cardiologist & neurologist: From 6/11/2021 to current

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
EKG, blood work, CT scan, Holter monitor, Echocardiogram, waiting on neurology
Aktuelle Erkrankungen
Anxiety Depression PTSD Mild Asthma
Vorgeschichte
Fibromyalgia Hashimoto's Thyroiditis
Andere Medikamente
Levothyroxine, Hydroxyzine, Cymbalta, Bariatric Multi Vitamin
Allergien
Cillins, Keflex, Sulfa Bacitracin Belsomra Labetalol Ozympic Gluten intolerant Wasp/and venom
Vorherige Impfungen
-

VAERS 1548796

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
AZ
Alter
18,0
Geschlecht
M
Eingang
12.08.2021
Impfdatum
07.08.2021
Beginn
07.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Dehydration Loss of consciousness

Symptomtext

Systemic: anxiety-Medium, Additional Details: pt passed out from shot for couple seconds and mom confirmed he got same reaction after meningitis shot he was breathing paramedic confirmed it was just anxiety and dehydration . all vitals were normal and pt went home with mom who came for shot with him

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1519847

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NC
Alter
35,0
Geschlecht
F
Eingang
02.08.2021
Impfdatum
22.07.2021
Beginn
23.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia Amnesia Bell's palsy Fatigue Feeling abnormal Hypoaesthesia Paraesthesia Paraesthesia oral

Symptomtext

Brain fog began 7/23/2021, followed by short term memory loss and fatigue in the following days. On 7/26/2021, right cheek began to have pins and needles feeling, followed by same feeling in gums on right side and on tongue. By 7/27/2021, lost taste on majority of tongue, pins and needles/ numbness sensations have continued. Diagnosed with Bells Palsy 8/2/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
N/a
Aktuelle Erkrankungen
None
Vorgeschichte
None- Antiphospholipid Syndrome diagnosis 2018
Andere Medikamente
Duloxetine; Bupropion; Zinc; Vitamin D; Vitamin C; Fish oil capsules
Allergien
N/a
Vorherige Impfungen
-

VAERS 1510271

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
ID
Alter
22,0
Geschlecht
M
Eingang
28.07.2021
Impfdatum
26.07.2021
Beginn
28.07.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Electrocardiogram normal Fatigue Headache Loss of consciousness Nausea Syncope

Symptomtext

The day after the shot, the patient experienced severe headaches, fatigue and nausea. This lasted one day. The 2nd day after the shot patient was feeling better and went to work. While there he had one episode of fainting where he was unconscious just momentarily. Pt slumped and DID NOT hit his head. Followed up with healthcare provider. Provider felt things were good and told pt to return if anything changed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
EKG --normal. 07-28-2021
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1485132

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
TN
Alter
54,0
Geschlecht
F
Eingang
19.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dyspnoea Hypopnoea Hypotonia Seizure Unresponsive to stimuli

Symptomtext

Patient said she was having trouble breathing soon after she went to the post dose waiting area. An epi pen was administered as her breathing was labored. She was helped to the floor as she stopped responding and went limp. Her breathing was shallow until the EMTs arrived. She started to convulse around the time the EMTs arrived. She came to shortly after and the EMTs had taken over care at that point. Patient had a history of seizures. EMTs arrived within 5 minutes of the patient's symptoms starting.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
Not provided by patient.
Vorgeschichte
Diabetes
Andere Medikamente
Not provided by patient.
Allergien
Gluten, peanuts, latex.
Vorherige Impfungen
Tetanus

VAERS 1479083

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
TX
Alter
47,0
Geschlecht
F
Eingang
16.07.2021
Impfdatum
16.07.2021
Beginn
16.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope

Symptomtext

patient fainted 25 minutes after vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1478680

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
AR
Alter
29,0
Geschlecht
M
Eingang
16.07.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SC / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Loss of consciousness

Symptomtext

Patient passed out about 10 minutes after vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 1474051

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21A

schwer
Staat
TX
Alter
57,0
Geschlecht
F
Eingang
15.07.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Confusional state Dizziness Dyspnoea Fatigue Headache Hyperventilation Hypoaesthesia Lethargy Nausea Pain Paraesthesia Syncope Tremor Unresponsive to stimuli

Symptomtext

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Medium, Systemic: Hyperventilation-Medium, Systemic: Nausea-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1455552

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
MO
Alter
25,0
Geschlecht
F
Eingang
07.07.2021
Impfdatum
07.07.2021
Beginn
07.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Feeling hot Hyperhidrosis Syncope Thirst

Symptomtext

PT. APPEARED TO BE ALRIGHT IMMEDIATELY FOLLOWING VACCINATION, BUT APPROXIMATELY 10 MIN. LATER SHE FAINTED. APPROX. 1-2 MINUTES LATER SHE REGAINED CONCIOUSNESS. SHE WAS HOT AND SWEATY AND ALSO THIRSTY.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE GIVEN
Vorgeschichte
NONE GIVEN
Andere Medikamente
NONE KNOWN
Allergien
NONE GIVEN
Vorherige Impfungen
-

VAERS 1454913

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NY
Alter
28,0
Geschlecht
F
Eingang
07.07.2021
Impfdatum
07.07.2021
Beginn
07.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope Tremor

Symptomtext

Patient received her 2nd Moderna vaccine, no previous issue with any vaccinations. Waited 15 minutes, felt fine, but when she stood up quickly to leave she felt faint. She kneeled/sat down on the ground, and briefly fainted without injury and immediately regained consciousness without intervention. I gave her ice packs for her neck and had her wait another 15 minutes. After 15 minutes she was feeling better but a little "shaky" still, she had an orange juice and waited a little longer until she felt well. I had her walk around a little before leaving, she was feeling well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1454611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
CO
Alter
19,0
Geschlecht
F
Eingang
07.07.2021
Impfdatum
07.07.2021
Beginn
07.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Anxiety Confusional state Eye movement disorder Head titubation Heart rate increased Panic attack Seizure

Symptomtext

19 year old girl received the shot and was sitting out in front of the pharmacy. She had told me she was very anxious about getting it. Her mother screamed for us, so we rushed out and had a tech call ED. When we went out there, she was hunched over forward as her mother was holding her. She appeared to be having a seizure lasting around 10 seconds and was confused when she stopped. Her mother told us before that happened, her head fell back and her eyes were rolled back. Later, the patient told us she was just having a panic attack. The paramedics arrived and checked her out. All seemed to be fine, with the exception of a fast heartbeat as expected. They convinced her to go to the hospital to be checked out. I will follow-up with her mother this evening.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
asthma
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1450677

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
MA
Alter
42,0
Geschlecht
M
Eingang
06.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness Flushing Hyperhidrosis Nausea Syncope Unresponsive to stimuli

Symptomtext

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1446694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
CA
Alter
25,0
Geschlecht
M
Eingang
04.07.2021
Impfdatum
01.07.2021
Beginn
02.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Presyncope

Symptomtext

Per patent he felt dizzy and felt like passing out for more than 3 days now.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1446590

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
UT
Alter
20,0
Geschlecht
F
Eingang
04.07.2021
Impfdatum
04.07.2021
Beginn
04.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Presyncope Syncope

Symptomtext

Vasovagal symptoms- patient fainted roughly 5 minutes after shot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
fainting episode. pt did not recall specific vaccine.

VAERS 1446141

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NY
Alter
35,0
Geschlecht
M
Eingang
03.07.2021
Impfdatum
03.07.2021
Beginn
03.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Syncope

Symptomtext

Pt received vaccine, waited 15 mins, reported feeling fine, went shopping with his wife and cashed out. Walking to his car he felt dizzy and fainted. His wife called 911. He recovered quickly and felt fine. When ambulance arrived they checked him out but he refused transport. Then his wife came in and reported event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 1446137

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
TX
Alter
79,0
Geschlecht
F
Eingang
03.07.2021
Impfdatum
30.06.2021
Beginn
01.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Arthralgia Chills Fatigue Myalgia Pyrexia Seizure

Symptomtext

SEIZURE, FOLLOWED BY FEVER (102.4), FATIGUE, MUSCLE PAIN, JOINT PAIN, CHILLS

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
UTI
Vorgeschichte
CHTN, DEMENTIA
Andere Medikamente
COREG, LASIX, DONEPEZIL, POTASSIUM
Allergien
PENICILLIN, CHOCOLATE
Vorherige Impfungen
-

VAERS 1443652

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
CA
Alter
18,0
Geschlecht
F
Eingang
02.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Loss of consciousness Nausea Restlessness

Symptomtext

Patient experienced a black out for a few seconds approx 5 minutes after Covid vaccine administered while seated and talking on phone with friend. Patients friend called us to check on her and she was conscious but very nauseous. She seemed unable to calm down but was breathing fine and no signs of hive/allergy. Called 911 and EMT gave patient an exam of BP, HR and breathing and said she was fine. Offered patient water and soda and she left approx 30 minutes later with friend to drive her home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
migraine/headache

VAERS 1442842

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
FL
Alter
28,0
Geschlecht
M
Eingang
02.07.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope Unresponsive to stimuli

Symptomtext

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patiuent was unresponsive for couple of seconds after 1st shot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1437232

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
CA
Alter
20,0
Geschlecht
M
Eingang
30.06.2021
Impfdatum
29.06.2021
Beginn
29.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dizziness Flushing Hyperhidrosis Seizure

Symptomtext

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Seizure-Medium, Additional Details: Pt had a seizure about 3 minutes after receiving the second Moderna vaccine. He previously reported to adverseve reaction with 1st vaccine. Per mom who is a RN, pt first stated that he was lightheaded and she had him sit down. Then his eyes rolled back and he had a seizure. Mom shouted to me that he was having a reaction and she called 911 from her cell phone. A few minutes later he was able to talk to his as we waited for the paramedics.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1437039

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
TN
Alter
18,0
Geschlecht
M
Eingang
30.06.2021
Impfdatum
29.06.2021
Beginn
29.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Eye contusion Face injury Fall Syncope Tooth fracture

Symptomtext

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received covid vaccine, approximately 10 minutes after patient slumped foward in chair then fell out of the chair and struck there face on an unkown object, blacked eye and chipped patients tooth. I went to the pharmacist rushed to patient's side made sure they were awake, asked technician to call 911, assisted patient back in the chair. Had technician stay with patient got him a water and waited for paramedics to arrive. The paramedics determined patient could leave.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1394268

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
MO
Alter
64,0
Geschlecht
F
Eingang
30.06.2021
Impfdatum
12.06.2021
Beginn
28.06.2021
Tage bis Beginn
16,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site pruritus Injection site swelling Peripheral swelling Skin tightness Seizure Tongue biting

Symptomtext

Itching and swelling at sight

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Epilepsy
Andere Medikamente
Fluoxetine 20 mg Ropinirole 3mg Zonisamide 100mg Lisinopril 20mg Hydrochlorothiazide 6mg Gabapentin 300mg Pravastatin 20mg
Allergien
Penicillin Latex
Vorherige Impfungen
-

VAERS 1431202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
23,0
Geschlecht
M
Eingang
28.06.2021
Impfdatum
28.06.2021
Beginn
28.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Fall Hyperhidrosis Loss of consciousness Syncope

Symptomtext

PATIENT FAINTED AND FELL DOWN ON THE FLOOR INFRONT OF PHARMACY AT THE END OF HIS 15MINUTE WAITING PERIOD AFTER THE 1 DOSE OF MODERNA COVID-19 VACCINE. IMMEDIATELY ONE OF THE PHARMACY STAFF CALLED 911 AND THE PHARMACIST WENT OUT TO THE PATIENT TO GIVE MEDICAL HELP AND PATIENT REGAINED HIS CONSCIOUS IN A MINUTE AND SLOWLY HE STARTED TALKING. WHEN ASKED HOW HE IS FEELING,HE SAID THAT EVERYTHING BLACKED OUT AND HE IS FEELING LITTLE WEAK AND SWEATING. IN THE MEAN TIME EMS CAME AND TOOK HIS VITALS AND HE PASSED OUT AGAIN, EMS GAVE HIM MEDICAL ATTENTION AND THEY IMMEDIATELY TOOK HIM TO ORANGE PARK MEDICAL CENTER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
NONE INFORMED TO US AT THIS TIME.
Aktuelle Erkrankungen
NONE REPORTED BY THE PATEINT.
Vorgeschichte
NONE REPORTED BY THE PATIENT.
Andere Medikamente
NONE REPORTED BY THE PATIENT
Allergien
NONE REPORTED BY THE PATIENT
Vorherige Impfungen
-

VAERS 1430397

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
20,0
Geschlecht
F
Eingang
27.06.2021
Impfdatum
27.06.2021
Beginn
27.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Fall Hyperhidrosis Nausea Pallor Syncope

Symptomtext

At about 1:10pm, 20 year old patient received the Moderna covid19 vaccine. Moments later, about 14 seconds after she left the room, patient collapses/faints to floor. Another customer screamed, which caught my attention, and I heard something hit the floor. I immediately left the pharmacy to the waiting area, where the patient fainted to attend to her and access the situation. I also immediately pointed and told , the certified pharmacy technician to call 911. I helped her off the ground and helped her to a chair where she sat down. The patient visibly was perspiring above her lip. I asked her are you having any difficulty breathing, to which she responded no. She said she was nauseous and wanted something to drink . I gave her water to drink. She initially appeared pale. Eventually her color came back. I told her that the paramedics were on their way, and that I was there for her to help her anyway I can. She mentioned to me that she had not had breakfast today, which may of contributed to her fainting. At about 1:13 pm, I asked her if she was feeling better or worse, to which she responded, "better". I asked her if she wanted more water, to which she said yes, and I brought her more water to drink. Around this time , her color was returning. I asked her again at about 1:18pm, if she felt better, to which she smiled and said yes. She ran out of water again, & I offered to bring her more water to drink. At 1:23pm , the paramedics arrived on the scene. At about 1:33pm , the patient left the pharmacy after the paramedics helped her feel better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1430292

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
IL
Alter
22,0
Geschlecht
M
Eingang
27.06.2021
Impfdatum
27.06.2021
Beginn
27.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope

Symptomtext

Patient fainted for about 30 seconds. Recovered fine no issues. Per patient normally happens after receiving vaccinations

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
none
Allergien
n/a
Vorherige Impfungen
Faints after receiving any vaccine

VAERS 1430026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NV
Alter
39,0
Geschlecht
M
Eingang
26.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Loss of consciousness

Symptomtext

Patient start sweating on his head, face and hands and a 30 seconds brief loss of consciousness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
BP 192/91 and second BP 45 minutes later 184/82 06/26/2021
Aktuelle Erkrankungen
No known medical conditions
Vorgeschichte
none
Andere Medikamente
none
Allergien
NKA
Vorherige Impfungen
-

VAERS 1429818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
UT
Alter
36,0
Geschlecht
F
Eingang
26.06.2021
Impfdatum
22.06.2021
Beginn
25.06.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Peripheral swelling Thrombosis Ultrasound Doppler abnormal

Symptomtext

06/25/2021 - noticed swelling in arm 06/26/2021 - went to urgent care for swelling and was diagnosed with a blood clot.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
Ultra sound to find blood clot
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Zoloft 100mg
Allergien
Minocycline
Vorherige Impfungen
-

VAERS 1429770

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
IL
Alter
65,0
Geschlecht
M
Eingang
26.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood pressure abnormal Cold sweat Pallor Syncope

Symptomtext

Patient dob 9/10/1955 walked in for a covid vaccine on 6/26/21. About 10 minutes after administering the 1st Moderna vaccine at 4:27pm the patient fainted on his chair. A man waiting in line for pickup noticed the patient and luckily supported the patient to prevent him from falling off the seat. We provided the patient with a cold compress, cold bottle of water, and some life saver candies as the wife stated he hadn't eaten anything since the morning. We instructed patient to lie down on the back with legs elevated, but the patient refused. Patient also refused calling for ambulance. A member of management was also notified. The blood pressure was monitored at 100/70, 118/78, then 126/84 all taken approximately 10 minutes apart. Patient initially looked pale and felt clammy. With his BP returning to normal, patient is looking more alert and color back. Patient authorized us to contact Dr. his PCP. Patient was with his wife who will be driving him home. Patient stayed for at least 45 minutes before leaving pharmacy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1429734

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NY
Alter
28,0
Geschlecht
F
Eingang
26.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Immediate post-injection reaction Loss of consciousness Nausea

Symptomtext

Patient immediately complained of Nausea and then seemed to pass out and need to be guided to the floor

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
Unknown
Aktuelle Erkrankungen
None
Vorgeschichte
Unknown
Andere Medikamente
Fluoxetine 20mg
Allergien
Cefaclor
Vorherige Impfungen
-

VAERS 1423770

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
MO
Alter
18,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Face injury Fall Haemorrhage Syncope

Symptomtext

After Moderna vaccine was given patient fainted from a standing position in our waiting area. A one inch cut was sustained to her left forehead in the fall. Patients pulse and breathing were checked while compression to forehead with gauze was used to stop bleeding. EMS responded and took over her care. Patient was transported to medical center.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none reported
Vorgeschichte
none reported
Andere Medikamente
unknown
Allergien
none
Vorherige Impfungen
-

VAERS 1408420

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
WI
Alter
20,0
Geschlecht
M
Eingang
17.06.2021
Impfdatum
17.06.2021
Beginn
17.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Seizure like phenomena Syncope

Symptomtext

Vaccine was administered to patient. He had a history of fear of needles, fainting, etc. Approximately 5 minutes after administration, patient did faint with possible seizure activity. Paramedics were called. No further adverse events were observed. Patient was conversational and walked out on his own power.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure like phenomena
Hospital-Tage
-
Labordaten
NONE Refused transport to local hospital
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
unknown

VAERS 1407622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
CT
Alter
54,0
Geschlecht
M
Eingang
17.06.2021
Impfdatum
02.06.2021
Beginn
04.06.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Angiogram Angiogram cerebral abnormal Cerebral venous thrombosis Jugular vein thrombosis Platelet count increased Platelet factor 4 increased Thrombocytopenia Transverse sinus thrombosis

Symptomtext

VITT: cerebral venous thrombosis and thrombocytopenia with positive PF4 antibody and no heparin exposure. Symptom onset on 6/4/21 which was 2 days after 2nd dose moderna vaccine (6/2/21) and diagnosed on 6/17/21. Started on bivalrudin. Clinically stable.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebral venous thrombosis
Hospital-Tage
-
Labordaten
PF4 antibody w/ 2.239 OD Platelets 67 from normal baseline CT angio of head showing thrombosis of left transverse sinus, left sigmoid sinus, and left internal jugular vein
Aktuelle Erkrankungen
None
Vorgeschichte
Diabetes Hypertension Hyperlipidemia
Andere Medikamente
metformin 1000mg qD atorvastatin 40mg qD amlodipine 5mg qD
Allergien
ACE inhibitor -- > angioedema
Vorherige Impfungen
-

VAERS 1407060

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
ID
Alter
20,0
Geschlecht
M
Eingang
17.06.2021
Impfdatum
17.06.2021
Beginn
17.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Loss of consciousness Syncope

Symptomtext

Patient fainted during the 30 minute observation period. Patient was sitting in a chair and slumped over, but did not hit their head or fall. Pt regained consciousness quickly, was taken to a room to lay down and was given gatorade. They were observed for 30 minutes with no issues, vitals went back to normal quickly.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Tdap
Vorherige Impfungen
Tdap at age of 15, had delayed lip swelling and trouble breathing and was treated at the ER. Pt had no problems with first COVI

VAERS 1403738

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
MO
Alter
30,0
Geschlecht
M
Eingang
16.06.2021
Impfdatum
16.06.2021
Beginn
16.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood pressure decreased Nausea Syncope

Symptomtext

Patient failed, blood pressure dropped, paramedics were called. Patient also got nauseous.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1403456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
IA
Alter
28,0
Geschlecht
M
Eingang
16.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Disorientation Dizziness Fatigue Headache Impaired work ability Loss of personal independence in daily activities Malaise Movement disorder Myalgia Nasopharyngitis Pain Pyrexia SARS-CoV-2 test negative Sleep disorder Syncope Tinnitus

Symptomtext

Started the day great and went and got the 2nd dose of Moderna on 6/12/21 at 940am. I felt fine throughout the day and I started getting a little dizzy and disoriented around 5pm and as it was explained to me it would be expected to get side effects. Later in the evening around 8pm I started to get extremely dizzy, tired, and having a low grade fever of 100.5F. I Later developed a headache and I had to go lie down for the rest of the night. As I was sleeping throughout the night and waking up multiple times shivering and being extremely cold, I was taking my temperature throughout the night and It would be climbing up from 100.5F and it reached 103.7F. At that point I wanted to get up and take some fever reducer medicines but I was unable to get out of the bed as I was very dizzy and disoriented and I was having extreme muscle and joint pains that I wasnt unable to move at all. I needed to go to the restroom and get a drink and I was unable to do that. I had considered going to the ER but I waited it out and wouldnt go unless my temperature kept rising. I eventually tried going to the bathroom but at that point I had passed out and woke up in the morning between my bedroom and bathroom. On sunday 6/13 I was continuing to have symptoms and felt extremely ill throughout the day. I woke up and the fever had gone away but I still had the symptoms mentioned above and also had ringing in my ears. Throughout the day I was trying to do stuff around the house but I was unable to do that and go to work. I would randomly pass out at times either on my desk or just sitting on the couch. That was throughout sunday then on monday I was feeling a lot better almost all symptoms had gone away but I was still a bit dizzy and had body aches and was unable to go to work and do basic stuff around the house. Tuesday I was mostly feeling fine but still felt a bit dizzy and disoriented and extremely fatigued but I was able to go to work. Wednesday I am feeling almost 100% normal but I do get dizzy at times and I am still extremely fatigued.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
Covid self test- Negative starting from Sunday until Wednesday.
Aktuelle Erkrankungen
-
Vorgeschichte
Under active thyroid, diabetes type 2, anemia,
Andere Medikamente
Levothyroxine, Omeprazole, Metformin, Folic Acid, Vit B complex, Vit D3
Allergien
Aspirine, gluten
Vorherige Impfungen
-

VAERS 1400630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
FL
Alter
34,0
Geschlecht
F
Eingang
15.06.2021
Impfdatum
15.06.2021
Beginn
15.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anaphylactic reaction Blindness Hyperhidrosis Incoherent Musculoskeletal stiffness Tremor

Symptomtext

The patient is an associate at this store. Per front end associate the patient called the store a few minutes after leaving and stated that she was calling from her car and couldn't see (blacking out) and she was shaking. Associate says she was incoherent and not making sense. She said she was on her way back to the store and her hands were going stiff and she was sweating a lot. Management came to the pharmacy at approximately 6pm to ask me to come outside to take care of an associate having an anapylactic reaction. I grabbed the Epipen and closed the pharmacy. As we were walking to the parking lot I was informed that the patient has just received a vaccine at the pharmacy. When we arrived to the patient, paramedics had already arrived on scene and they were preparing to take her to the hospital. I could see her shaking and her arms sticking rigidly out of the car door. The patient received her vaccine at 3:16pm on 6/15/2021, this was her second dose of the Moderna vaccine. She reported some side effects from the first vaccine including muscle aches, feeling "out of it" and having to leave work early.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
unknown, patient is currently at the hospital
Aktuelle Erkrankungen
none known
Vorgeschichte
none known
Andere Medikamente
none known
Allergien
none known
Vorherige Impfungen
-

VAERS 1397272

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
OK
Alter
22,0
Geschlecht
M
Eingang
14.06.2021
Impfdatum
14.06.2021
Beginn
14.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Fall Loss of consciousness

Symptomtext

PATIENT WAS ADMINISTERED HIS FIRST DOSE OF THE MODERNA COVID VACCINE AND APPEARED TO BE FINE AFTERWARD. HE MOVED FROM THE IMMUNIZATION BOOTH TO A SEAT OUT IN FRONT OF THE PHARMACY, AND A FEW MINUTES AFTER HIS VACCINE HE PASSED OUT AND FELL OVER OUT OF THE SEAT. A CODE WHITE WAS CALLED, BUT THE PATIENT REGAINED CONSCIOUSNESS QUICKLY AFTER PASSING OUT, AND WAS MOVED BACK INTO A SEAT WITH ARMS. HE TOOK A FEW SIPS OF WATER AND APPEARED TO HAVE MOSTLY RECOVERED, BUT THE PATIENT LOST CONSCIOUSNESS IN THE SEAT AGAIN A FEW MINUTES LATER. EMS WERE CALLED TO CHECK OUT THE PATIENT, BUT WHEN THEY ARRIVED HE APPEARED TO HAVE MOSTLY RECOVERED AND SHOWED NO MORE SIGNS OF PASSING OUT AGAIN. EMS CLEARED HIM TO GO HOME AND ADVISED HIM TO GO TO THE ER IF HE HAD ANY MORE ISSUES LATER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1395087

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
WV
Alter
64,0
Geschlecht
F
Eingang
13.06.2021
Impfdatum
09.06.2021
Beginn
11.06.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Seizure

Symptomtext

/Pt called to explain had seizure after second dose. Was provided first dose on 5/12/21 (no reported incident). Second dose provided on 6/9/21. Patient reported seizure occurred on 6/11/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Seizure disorder, Lupus, RA (not currently being treated)
Vorgeschichte
Seizure disorder, Lupus, RA (not currently being treated)
Andere Medikamente
Unknown to pharmacy
Allergien
Most Antibiotics
Vorherige Impfungen
-

VAERS 1394970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
NC
Alter
34,0
Geschlecht
M
Eingang
13.06.2021
Impfdatum
13.06.2021
Beginn
13.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope

Symptomtext

Patient fainted about 5 minutes after vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1394360

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
WI
Alter
36,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Syncope

Symptomtext

About 1 minute after vaccination, the patient fainted briefly while waiting in the post-vaccination waiting area. No further medical attention was needed other than basic first-aid.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1394182

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
NY
Alter
27,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Cold sweat Fall Pallor Syncope Tremor

Symptomtext

APPROXIMATELY 5 MINUTES AFTER VACCINATION, PATIENT HAD EPISODE OF WHAT APPEARED TO BE VASOVAGAL SYNCOPE - PALLID, CLAMMY, SHAKY, WEAKNESS, FELL TO THE FLOOR AND QUICKLY CAME BACK TO CONSIOUSNESS. BP WAS TAKEN IMMEDIATELY AFTER, WAS WITHIN NORMAL LIMITS. PARAMEDICS AND STORE MANAGEMENT RESPONDED TO EPISODE. PARAMEDICS ASSESSED AND MONITORED PATIENT, PATIENT DID NOT REQUIRE TRANSPORT TO HOSPITAL. PATIENT REMAINED AT THE PHARMACY FOR A FEW MINUTES AFTER PARAMEDICS LEFT THE SCENE. PARENTS WERE WITH HIM DURING VACCINATION AND ESCORTED HIM HOME. ALTHOUGH STILL A LITTLE PALE, PATIENT HAD RECOVERED AND LEFT ON HIS OWN, WELL AFTER THE NORMAL 15 MINUTES MANDATED WAITING PERIOD.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 1382433

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
PA
Alter
46,0
Geschlecht
M
Eingang
08.06.2021
Impfdatum
08.06.2021
Beginn
08.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Condition aggravated Immediate post-injection reaction Seizure

Symptomtext

patient had a seizure immediately following administration of vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
patient has a history of seizure disorder
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1361774

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

schwer
Staat
FL
Alter
37,0
Geschlecht
M
Eingang
30.05.2021
Impfdatum
30.05.2021
Beginn
30.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Disorientation Feeling hot Loss of consciousness

Symptomtext

Patient arrived for 2nd Moderna vaccine today 5/30/21. He explained that he sometimes becomes faint or passes out after having blood drawn. Inquired as to whether patient had eaten this morning and he stated that he had. Advised patient we would have him stay in the pharmacy area longer just to ensure that he didn't have any ill effects from the vaccine before returning home. Within a few seconds of receiving the vaccine, patient stated that he was "starting to feel it". At that point, rather than have him move to the recovery area, I decided to keep him in the IMZ booth and told him "I'm going to just keep you in here and we will talk for a while". Upon asking patient what his plans for the day were, he became mildly disoriented and I held his shoulders to ensure that he didn't fall from the chair. He temporarily lost consciousness (10-15 seconds) while still seated in the chair. Upon regaining consciousness, he was alert and responsive and did not show any ill effects aside from feeling warm. I had patient sit on the floor and placed ice packs on back of his neck and gave him another to place on his forehead and chest. Patient sat and spoke with me for appx 25 more minutes before leaving the area with his wife.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
shellfish
Vorherige Impfungen
-

VAERS 1347798

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
ID
Alter
19,0
Geschlecht
F
Eingang
25.05.2021
Impfdatum
25.05.2021
Beginn
25.05.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Fall Head injury Loss of consciousness

Symptomtext

Passed out while standing about 8 minutes after receiving vaccination, hit head on the counter and then fell back and hit head on the floor, out for less then 1 minute, was awake by the time a person could get to her side.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
no concussion, vitals normal
Aktuelle Erkrankungen
none
Vorgeschichte
anxiety, ADHD
Andere Medikamente
zoloft, adderall, trazodone
Allergien
none
Vorherige Impfungen
Fainted after previous vaccinations due to phobia

VAERS 1336876

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

schwer
Staat
ID
Alter
22,0
Geschlecht
M
Eingang
21.05.2021
Impfdatum
21.05.2021
Beginn
21.05.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blindness Dizziness Loss of consciousness Seizure Unresponsive to stimuli Vomiting

Symptomtext

Felt lightheaded, dizziness, then leaned back passed out and was unresponsive with convulsions for 5 seconds then started responding again. Couldn't see for 15 seconds then threw up. After fluids and crackers waited for 20 minutes and then was fine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2633592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
FL
Alter
72,0
Geschlecht
F
Eingang
18.05.2023
Impfdatum
22.07.2021
Beginn
21.07.2022
Tage bis Beginn
364,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Blood alkaline phosphatase normal Blood chloride decreased Blood glucose normal Blood sodium decreased Bundle branch block left COVID-19 Chest X-ray abnormal Chronic obstructive pulmonary disease Cough Dry mouth Dyspnoea Electrocardiogram PR shortened Electrocardiogram ST segment depression Electrocardiogram abnormal Left atrial enlargement Palpitations Pyrexia Right atrial enlargement

Symptomtext

BREAKTHOUGH COVID: Patient with PMH of HLD, Skin CA, Chronic Back Pain, and currently a smoker presents today due to SOB, cough, and fever x2 days. Pt denies any history of being diagnosed with COPD. Pt states symptoms started 2 days ago and then she began having dry mouth and palpitations which prompted the ED visit. Pt denies any CP, or N/V/D associated. Pt is vaccinated for COVID-19. CXR completed and revealed COPD, mild prominence of interstitial markings. Abnormal labs included; na 128, cl 89, glucose 116, alk phos 112, and +COVID-19. Pt was given IVF, steroids, and pain medications in ED.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
CXR: COPD, EKG: adbnormal findings EKG 94 SINUS RHYTHM WITH SHORT PR INTERVAL RIGHT ATRIAL ENLARGEMENT [0.3mV P-WAVE] LEFT ATRIAL ENLARGEMENT [-0.15mV P-WAVE IN V1/V2] INDETERMINATE AXIS LEFT POSTERIOR FASCICULAR BLOCK [QRS AXIS > 109, INFERIOR Q] MODERATE ST DEPRESSION [0.05+ mV ST DEPRESSION] ABNORMAL ECG
Aktuelle Erkrankungen
unknown
Vorgeschichte
HLD, SKIN CA, CHRONIC BACK PAIN, COPD
Andere Medikamente
LIDOERM
Allergien
AMOXIL, AUGMENTIN
Vorherige Impfungen
-

VAERS 2426444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NY
Alter
68,0
Geschlecht
M
Eingang
01.09.2022
Impfdatum
30.12.2020
Beginn
20.01.2021
Tage bis Beginn
21,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Arthralgia Arthritis Back pain C-reactive protein increased Condition aggravated Discomfort Loss of personal independence in daily activities Pain Psoriatic arthropathy

Symptomtext

I have and am being treated for psoriatic arthritis. About a month following the initial vaccination my arthritis started to flare-up. Following subsequent vaccinations my condition has been exacerbated. Pain in my ankles, knees and back has steadily increased. My C Reactive P which is an inflammatory marker has been elevated since my my first vaccination. I am a very active individual being a business owner and first responder but have slowed down because of the increased discomfort and pain. On a scale of 1-10, 10 being extremely pain-full, I am now at a steady 6-7.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2359221

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
WY
Alter
44,0
Geschlecht
M
Eingang
06.07.2022
Impfdatum
29.07.2021
Beginn
01.09.2021
Tage bis Beginn
34,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Chest pain Dyspnoea Electrocardiogram Inappropriate schedule of product administration Magnetic resonance imaging SARS-CoV-2 test Tremor

Symptomtext

shortness of breath so severe; patient reports experincing chest pain since November 2021; Patient tested Covid-19/ Patient experienced symptoms of Covid-19; Greater than 35 days between the patients first and second Primary Series doses of the Moderna Covid-19 vaccine.; shaky right hand; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (shortness of breath so severe), CHEST PAIN (patient reports experincing chest pain since November 2021), TREMOR (shaky right hand), COVID-19 (Patient tested Covid-19/ Patient experienced symptoms of Covid-19) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Greater than 35 days between the patients first and second Primary Series doses of the Moderna Covid-19 vaccine.) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 020F21A and 009D21A) for COVID-19 vaccination. No Known drug allergies provided. Patient has no History of Myocarditis or pericarditis. Concurrent medical conditions included Depression and High cholesterol. Concomitant products included LEVOTHYROXINE, PROPRANOLOL, AMFETAMINE ASPARTATE, AMFETAMINE SULFATE, DEXAMFETAMINE SACCHARATE, DEXAMFETAMINE SULFATE (ADDERALL), FLUOXETINE and MONASCUS PURPUREUS (RED YEAST RICE) for an unknown indication. On 29-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Sep-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Greater than 35 days between the patients first and second Primary Series doses of the Moderna Covid-19 vaccine.). In September 2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced TREMOR (shaky right hand). On 09-Oct-2021, the patient experienced COVID-19 (Patient tested Covid-19/ Patient experienced symptoms of Covid-19). In November 2021, the patient experienced DYSPNOEA (shortness of breath so severe) and CHEST PAIN (patient reports experincing chest pain since November 2021). At the time of the report, DYSPNOEA (shortness of breath so severe) and CHEST PAIN (patient reports experincing chest pain since November 2021) had not resolved and TREMOR (shaky right hand), COVID-19 (Patient tested Covid-19/ Patient experienced symptoms of Covid-19) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Greater than 35 days between the patients first and second Primary Series doses of the Moderna Covid-19 vaccine.) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Oct-2021, SARS-CoV-2 test: positive (Positive) Positive. On an unknown date, Electrocardiogram: negative (Negative) Negative. On an unknown date, Magnetic resonance imaging: negative (Negative) Negative. Patient did not experience any similar events in the past. Patient experienced COVID-19 symptoms on 08 Oct 2021. Symptoms included, Fever, Shortness of breath, Runny nose, Fatigue. Patient was not hospitalized due to COVID-19. Patient went to his Primary Care Physician and his Neurologist The reporter reported that the symptoms had been worsened. No treatment medication information was provided. Company Comment: This spontaneous case concerns a 44-year-old, male patient with concurrent high cholesterol and depression and concomitant medications of DEXTROAMPHETAMINE/AMPHETAMINE (Adderall), Fluoxetine, Propranolol and Levothyroxine all for unknown indications, who experienced the unexpected, non-serious adverse event of special interest COVID-19 and other non-serious events of Dyspnoea, Chest pain and Tremor. Inappropriate schedule of product administration was reported as an additional event. The patient was diagnosed with COVID-19 approximately a month after completion of primary vaccine series, presenting with fever, shortness of breath, runny nose and fatigue. Clinical course and treatment details were not specified, although it was mentioned that he was not hospitalized. The patient also experienced shaking of the right hand a week following vaccination. Information was not provided on the course of the symptom and if there was any immediate medical consult done. Approximately 2 months post-vaccination, chest pain and shortness of breath occurred, and observed decreased endurance on an unspecified exact date. He was seen by a primary physician and was referred to a neurologist where electrocardiography and magnetic resonance imaging were done; but results were negative. The physician associated the symptoms to his ongoing depression. At the time of reporting, the non-serious events are still ongoing. The patient's depression remains a confounder for the dyspnea, chest pain and tremor; while high cholesterol could be a risk factor for the dyspnea and chest pain. Additionally, the concomitant medications remain as confounders for the chest pain and tremor. The benefit-risk relationship of mRNA-1273 is not affected by this report. Sender's Comments: This spontaneous case concerns a 44-year-old, male patient with concurrent high cholesterol and depression and concomitant medications of DEXTROAMPHETAMINE/AMPHETAMINE (Adderall), Fluoxetine, Propranolol and Levothyroxine all for unknown indications, who experienced the unexpected, non-serious adverse event of special interest COVID-19 and other non-serious events of Dyspnea, Chest pain and Tremor. Inappropriate schedule of product administration was reported as an additional event. The patient was diagnosed with COVID-19 approximately a month after completion of primary vaccine series, presenting with fever, shortness of breath, runny nose and fatigue. Clinical course and treatment details were not specified, although it was mentioned that he was not hospitalized. The patient also experienced shaking of the right hand a week following vaccination. Information was not provided on the course of the symptom and if there was any immediate medical consult done. Approximately 2 months post-vaccination, chest pain and shortness of breath occurred, and observed decreased endurance on an unspecified exact date. He was seen by a primary physician and was referred to a neurologist where electrocardiography and magnetic resonance imaging were done; but results were negative. The physician associated the symptoms to his ongoing depression. At the time of reporting, the non-serious events are still ongoing. The patient's depression remains a confounder for the dyspnea, chest pain and tremor; while high cholesterol could be a risk factor for the dyspnea and chest pain. Additionally, the concomitant medications remain as confounders for the chest pain and tremor. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Test Name: EKG; Test Result: Negative; Result Unstructured Data: Negative; Test Name: MRI; Test Result: Negative; Result Unstructured Data: Negative; Test Date: 20211009; Test Name: Covid-19; Test Result: Positive; Result Unstructured Data: Positive.
Aktuelle Erkrankungen
Depression; High cholesterol.
Vorgeschichte
Comments: No Known drug allergies provided. Patient has no History of Myocarditis or pericarditis.
Andere Medikamente
LEVOTHYROXINE; PROPRANOLOL; ADDERALL; FLUOXETINE; RED YEAST RICE.
Allergien
-
Vorherige Impfungen
-

VAERS 2335908

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
VT
Alter
61,0
Geschlecht
F
Eingang
27.06.2022
Impfdatum
23.06.2021
Beginn
23.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Fatigue Headache Hyperhidrosis Malaise Mobility decreased Pain Pyrexia

Symptomtext

By the time I got home, I knew I was extremely tired. That continued to increase as the evening went on so I ended up going to bed early for me. I took a Tylenol. I drank a lot of fluids and went to bed. I got up in the morning and I didn't even want to move. I was so exhausted. I experienced headache and body aches. I had a low grade fever off and on...very low grade. I experienced sweats off and on and a general sense of malaise. The exhausting was debilitating and lasted about 3 weeks.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Hypertension, Hypothyroidism, Hyperparathyroidism, Stage 2 Kidney Disease, Asthma, COPD, Fibromyalgia, Chronic Fatigue, Chronic Epstein Bar Virus, PTSD, Depression, Anxiety, Migraines, Arthritis, chronic pain, and tremors of unknown origins
Andere Medikamente
Levothyroxine 88mg, Metoprolol ER 100, Albuterol as PRN, Advair 100/50, Vitamin D3, Calm Magnesium
Allergien
All sulfa drugs, penicillin, Macrodantin, Cymbalta, Doxepin, Losartan, Lisinopril, Amlodipine, Gabapentin, Cipro, Lexapro, Nitrofurantoin, Demerol, egg whites, pineapple, almonds, kidney beans, white navy beans, nutmeg
Vorherige Impfungen
MMR Vaccine in 1991 or 1992 - 32 years old, I ended up with a really bad sinus infection and bronchitis within 24 hours and it t

VAERS 2303932

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MN
Alter
37,0
Geschlecht
F
Eingang
01.06.2022
Impfdatum
02.07.2021
Beginn
04.07.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Arrhythmia Bundle branch block right Chest pain Chills Dizziness Dyspnoea Electrocardiogram abnormal Epistaxis Feeling abnormal Headache Hypoaesthesia Laboratory test Lethargy Pain Pyrexia Sleep disorder

Symptomtext

7/2 /2021 - I received the second dose of Moderna. 7/3/2021 - I woke up with a headache, my headache became more serve after lunch time. In the afternoon, I got a chill with a fever around 101 Fahrenheit using temple touch thermometer. That night, I had a massive nose bleed (clumps of blood) which lasted for at least 2 hours. I never ever had that kind of nose bleed before. I felt lethargic after all that. 7/4/2021- around 2am, I woke up because I couldn't breath. I had to work really hard to take a breath. I had an abnormal chest pain every time I took a deep breath. I felt numb in both arms, dizzy and, foggy. I was up every few hours to catch a breath. 7/5/2021 ? my headache became less serve, but my other symptoms didn't improve. I went to the clinic, the physician there called an ambulance. The EMTs performed EKG on me twice. Both times showed I had abnormal heart rhythms. I then went to the ER, they performed another EKG (same result). After a lot of tests, I was safe to go home. I was diagnosed with A Bundle Branch Blocked. It's almost a year since my second dose of Moderna, my chest pain still comes and goes. I really hope there is away to help me get back to normal. I am 5 feet, 105lbs. I don't exercise. I do yoga and I like hiking. My chest pain hardly occurs when I go for long walks, but usually happened when I lay down. I have no health conditions prior to the second dose of Moderna. I hardly ever get sick. I do have allergies in Spring time and get hives when I ate too much seafood. I usually took Claritin for my allergies. I didn't take Claritin for about 2 months before receiving the second dose of Moderna. Before getting Covid-19 vaccines, I focused on eating healthy and avoid seafood for about 4 weeks before and after my shots. Even when I was in pain, I didn't take any over-the-counter meds; one- I didn't know which med to take, two- I didn't want over-the-counter medicine to interfere with the work of the vaccine. I did NOT take any dietary supplements, herbal remedies, or other non-traditional/ alternative medicines before or after vaccination. I didn't have short-term illness or acute illnesses on the date of vaccination and up to 1 month prior to 7/2/2021. I wasn't sick or had any kind of side effects after the first dose of Moderna. I never tested positive for SARS-CoV-2. I didn?t get treatments for my heart condition because I can't afford it. I seeked help from the government program but got rejected. I would like to participate and contribute to modern medicine/health science.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arrhythmia
Hospital-Tage
1,0
Labordaten
7/5/2021 Right Bundle Branch Blocked
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
-None
Allergien
Seasonal and seafood allergies will take Claritin.
Vorherige Impfungen
-

VAERS 2262019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
88,0
Geschlecht
F
Eingang
03.05.2022
Impfdatum
21.07.2021
Beginn
02.05.2022
Tage bis Beginn
285,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cough Dyspnoea Fatigue Pneumonia Respiratory tract congestion Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

Symptom onset was 04/19/2022, cough, SOB, runny nose, congestion and fatigue. Case was admitted to hospital 05/02/2022 with pneumonia and tested positive for COVID-19.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
unknown
Vorgeschichte
Chronic Lung condition
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 2228602

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
FL
Alter
65,0
Geschlecht
F
Eingang
12.04.2022
Impfdatum
28.07.2021
Beginn
10.04.2022
Tage bis Beginn
256,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Chest X-ray normal Chest pain Dizziness Dyspnoea Productive cough Pyrexia SARS-CoV-2 test positive Vaccine breakthrough infection Wheezing

Symptomtext

Covid19 breakthrough. 1st vaccine received on 07/06/2021. 66 y/o female with PMHX of ESRD on hemodialysis MWF, Asthma, CAD s/p PCI 2017, HTN, gastritis, DM, Hypothyroidism, scolosis presents to ED with c/o SOB, wheezing, productive cough, dizziness and chest pain x1 day. Room air sat 97%, CXR with no focal consolidation and pt with low grade temps. Treated with IV steroids. Covid severity score=0 per Admitting MD.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
SARS CoV 2 PCR Covid19- Detected on 04/10/2022
Aktuelle Erkrankungen
-
Vorgeschichte
ESRD on Hemodialysis MWF, Asthma, CAD s/p PCI 2017, HTN, Gastritis, DM, Hypothyroid, scolosis
Andere Medikamente
-
Allergien
Azithromycin, Dust
Vorherige Impfungen
-

VAERS 2206462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MI
Alter
56,0
Geschlecht
M
Eingang
30.03.2022
Impfdatum
13.01.2021
Beginn
28.03.2022
Tage bis Beginn
439,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Dyspnoea Interchange of vaccine products Orthopnoea SARS-CoV-2 test positive

Symptomtext

Pt has multiple comorbities, including CH, COPD, and obesity. He arrived to the ER due to dyspnea and orthopnea. He was found to be COVID positive.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2142519

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NY
Alter
41,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
15.06.2021
Beginn
15.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Body temperature Cough Fatigue Myalgia Pain in extremity Paraesthesia Pyrexia Vaccination site swelling Vaccination site urticaria Vaccination site warmth

Symptomtext

The patient also developed a cough 12 days after receiving the vaccine; tiredness; There is also a pins and needles sensation/ tingling in her feet; On day 4 have pain in bones in legs just above knee very achy and constant. After a few days the pain increased and has spread down to her feet; that was hot to the touch; muscle aches; hives around the injection site; the same injection site swollen arm; fever of 103 degrees Fahrenheit; joint aches for 4-5 days after the injection, on 19Jun2021 the patient began to experience pain in the bones of her leg just above the knee; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (There is also a pins and needles sensation/ tingling in her feet), PAIN IN EXTREMITY (On day 4 have pain in bones in legs just above knee very achy and constant. After a few days the pain increased and has spread down to her feet), VACCINATION SITE WARMTH (that was hot to the touch), COUGH (The patient also developed a cough 12 days after receiving the vaccine) and MYALGIA (muscle aches) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included BUPROPION HYDROCHLORIDE (WELLBUTRIN) for an unknown indication. On 15-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Jun-2021, the patient experienced PAIN IN EXTREMITY (On day 4 have pain in bones in legs just above knee very achy and constant. After a few days the pain increased and has spread down to her feet), VACCINATION SITE WARMTH (that was hot to the touch), MYALGIA (muscle aches), VACCINATION SITE URTICARIA (hives around the injection site), VACCINATION SITE SWELLING (the same injection site swollen arm), PYREXIA (fever of 103 degrees Fahrenheit) and ARTHRALGIA (joint aches for 4-5 days after the injection, on 19Jun2021 the patient began to experience pain in the bones of her leg just above the knee). On 19-Jun-2021, the patient experienced PARAESTHESIA (There is also a pins and needles sensation/ tingling in her feet). On an unknown date, the patient experienced COUGH (The patient also developed a cough 12 days after receiving the vaccine) and FATIGUE (tiredness). The patient was treated with CYANOCOBALAMIN (B 12) at an unspecified dose and frequency; PARACETAMOL (TYLENOL) at an unspecified dose and frequency; NAPROXEN SODIUM (ALEVE) at an unspecified dose and frequency; DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency and GABAPENTINE at an unspecified dose and frequency. At the time of the report, PARAESTHESIA (There is also a pins and needles sensation/ tingling in her feet), PAIN IN EXTREMITY (On day 4 have pain in bones in legs just above knee very achy and constant. After a few days the pain increased and has spread down to her feet), VACCINATION SITE WARMTH (that was hot to the touch), COUGH (The patient also developed a cough 12 days after receiving the vaccine), MYALGIA (muscle aches), FATIGUE (tiredness), VACCINATION SITE URTICARIA (hives around the injection site), VACCINATION SITE SWELLING (the same injection site swollen arm), PYREXIA (fever of 103 degrees Fahrenheit) and ARTHRALGIA (joint aches for 4-5 days after the injection, on 19Jun2021 the patient began to experience pain in the bones of her leg just above the knee) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Jun-2021, Body temperature: 103 degrees fahrenheit (High) 103 degrees Fahrenheit. Additional treatment information included Motrin, Perkiest and non drug treatment included Ice packs, Heat packs and Rest exercise. This case was linked to MOD-2021-250496 (Patient Link).; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Test Date: 20210615; Test Name: Body temperature; Result Unstructured Data: 103 degrees Fahrenheit
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
WELLBUTRIN
Allergien
-
Vorherige Impfungen
-

VAERS 2131292

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
TX
Alter
59,0
Geschlecht
F
Eingang
22.02.2022
Impfdatum
03.07.2021
Beginn
01.09.2021
Tage bis Beginn
60,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 pneumonia

Symptomtext

Admitted for COVID pneumonia. Fully vaccinated in June. Treated with steroids, zinc, vit-c, O2, remdesivir, rocephin. Required HFNC but eventually weaned to 1 L and discharged home with O2.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
13,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2129026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MN
Alter
46,0
Geschlecht
M
Eingang
21.02.2022
Impfdatum
29.06.2021
Beginn
19.02.2022
Tage bis Beginn
235,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Asymptomatic COVID-19 Back pain Chest discomfort Chest pain Feeling of body temperature change Hyperhidrosis Pain SARS-CoV-2 test positive

Symptomtext

Patient reports this particular episode of chest pain started yesterday (2/19) around 12?noon. He reports that it initially started as "jolts" of pain, some "sharp and dull". He reports that he woke up this morning with a "tight" chest pain. He reports that he has also had "hot and cold sweats" all morning. Patient reports that this is not a burning pain, and does not feel like GERD or heartburn. He denies anything making this pain better or worse. Patient denies any nausea. He does note a lower?mid back pain that he has not had before as well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
POSITIVE ASYMPTOMATIC COVID-19 PCR
Aktuelle Erkrankungen
-
Vorgeschichte
Type 1 diabetes mellitus (s/p pancreatic transplant x2), gastroparesis (s/p gastric pacemaker), NSTEMI, hyperlipidemia, CAD (s/p DES), and celiac disease
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2101109

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
-
Geschlecht
F
Eingang
10.02.2022
Impfdatum
13.10.2021
Beginn
01.12.2021
Tage bis Beginn
49,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Blood pressure measurement Blood test Computerised tomogram Groin pain Joint swelling Lumbar puncture Magnetic resonance imaging Nerve conduction studies Nerve injury Neuritis Pain Pain in extremity Paraesthesia Sitting disability Walking aid user X-ray

Symptomtext

Was hospitalized after this visit where she was diagnosed as having "nerve damage."/nerve damage; She was able to ambulate with a walker at discharge, but now has been using a cane/ walker; The pain had moved from her groin towards her hip and under her knee; This pain gradually escalated and eventually became debilitating/ debilitating/This has been excruciating pain and the worst pain of her life/the worst pain of my life; 3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin; Leg pain/3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin; Nerve inflammation; Both of her feet felt funny and prickly/funny and prickly; Her ankle was swollen; She became unable to sit after standing at her job/she was not able to sit; This spontaneous case was reported by a consumer and describes the occurrence of NERVE INJURY (Was hospitalized after this visit where she was diagnosed as having "nerve damage."/nerve damage) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A and 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Mast cell activation syndrome, Mutagenic effect (A mutation where the body cannot rid itself of toxins) and Allergy (She has a history of allergies). On 13-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Nov-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In December 2021, the patient experienced PAIN (This pain gradually escalated and eventually became debilitating/ debilitating/This has been excruciating pain and the worst pain of her life/the worst pain of my life), GROIN PAIN (3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin), PAIN IN EXTREMITY (Leg pain/3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin), NEURITIS (Nerve inflammation), PARAESTHESIA (Both of her feet felt funny and prickly/funny and prickly), JOINT SWELLING (Her ankle was swollen) and SITTING DISABILITY (She became unable to sit after standing at her job/she was not able to sit). On an unknown date, the patient experienced NERVE INJURY (Was hospitalized after this visit where she was diagnosed as having "nerve damage."/nerve damage) (seriousness criterion hospitalization), WALKING AID USER (She was able to ambulate with a walker at discharge, but now has been using a cane/ walker) and ARTHRALGIA (The pain had moved from her groin towards her hip and under her knee). The patient was treated with GABAPENTIN on 16-Dec-2021 at an unspecified dose and frequency; OXYTETRACYCLINE HYDROCHLORIDE (OXY [OXYTETRACYCLINE HYDROCHLORIDE]) on 16-Dec-2021 at an unspecified dose and frequency; PREGABALIN (LYRICA) at an unspecified dose and frequency; DULOXETINE HYDROCHLORIDE (CYMBALTA) for Mobility decreased, at an unspecified dose and frequency and Physical therapy for Nerve injury. At the time of the report, NERVE INJURY (Was hospitalized after this visit where she was diagnosed as having "nerve damage."/nerve damage), PAIN (This pain gradually escalated and eventually became debilitating/ debilitating/This has been excruciating pain and the worst pain of her life/the worst pain of my life), GROIN PAIN (3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin), PAIN IN EXTREMITY (Leg pain/3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin), NEURITIS (Nerve inflammation), PARAESTHESIA (Both of her feet felt funny and prickly/funny and prickly), JOINT SWELLING (Her ankle was swollen), SITTING DISABILITY (She became unable to sit after standing at her job/she was not able to sit) and ARTHRALGIA (The pain had moved from her groin towards her hip and under her knee) outcome was unknown and WALKING AID USER (She was able to ambulate with a walker at discharge, but now has been using a cane/ walker) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 16-Dec-2021, Blood pressure measurement: high (High) High (Elevated). On an unknown date, Blood test: results not provided. results not provided.. On an unknown date, Computerised tomogram: results not provided. results not provided.. On an unknown date, Lumbar puncture: results not provided. results not provided.. On an unknown date, Magnetic resonance imaging: results not provided. results not provided.. On an unknown date, Nerve conduction studies: results not provided. results not provided.. On an unknown date, X-ray: results not provided. results not provided.. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. It was reported that 3 weeks after receiving the second dose of the vaccine she started having leg pain in her right leg towards her groin. She described this pain as nerve inflammation. The pain gradually escalated and eventually became debilitating. She saw a healthcare professional for this pain twice in early December, where her ankle was swollen and both of her feet felt funny and prickly. The second of these was on 16 Dec 2021 where she discussed elevated blood pressure with the HCP. They provided her gabapentin, oxy and steroids at the appointment. She had another doctors appointment again in December after she became unable to sit after standing at her job. That day, she was able to drive her child to school and herself to work but upon arriving at work she was not able to sit. The pain had moved from her groin towards her hip and under her knee. She was hospitalized after this visit where she was diagnosed as having nerve damage. This had been excruciating pain and the worst pain of her life. While hospitalized they ran blood tests, x rays, CT scans, and MRI with contrast. They also performed a spinal tap procedure. While in the hospital they put her on Lyrica and Cymbalta which improved her mobility while lying on the bed. They ran nerve conduction tests while there too. She was discharged where she had been using physical therapy. She was able to ambulate with a walker at discharge, but now had been using a cane. She was a young woman and exercised regularly prior to the vaccine. This is a spontaneous case concerning a female patient of unknown age with a medical history of mast cell activation syndrome, mutagenic effect and allergy, who experienced the unexpected events of nerve injury, pain, groin pain, pain in extremity, neuritis, paraesthesia, joint swelling, walking aid user, arthralgia and sitting disability. The events occurred a few weeks after the second dose of mRNA ? 1273 vaccine. Nerve injury was the event which caused patient's hospitaliz; Sender's Comments: This is a spontaneous case concerning a female patient of unknown age with a medical history of mast cell activation syndrome, mutagenic effect and allergy, who experienced the unexpected events of nerve injury, pain, groin pain, pain in extremity, neuritis, paraesthesia, joint swelling, walking aid user, arthralgia and sitting disability. The events occurred a few weeks after the second dose of mRNA ? 1273 vaccine. Nerve injury was the event which caused patient's hospitalization and at the time of report all the events have not resolved. The reporter's assessment was not provided. The benefit-risk relationship of the vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Test Date: 20211216; Test Name: Blood pressure; Result Unstructured Data: High (Elevated); Test Name: Blood tests; Result Unstructured Data: results not provided.; Test Name: CT scan; Result Unstructured Data: results not provided.; Test Name: Spinal tap; Result Unstructured Data: results not provided.; Test Name: MRI with contrast; Result Unstructured Data: results not provided.; Test Name: Nerve conduction test; Result Unstructured Data: results not provided.; Test Name: X-rays; Result Unstructured Data: results not provided.
Aktuelle Erkrankungen
Allergy (She has a history of allergies); Mast cell activation syndrome; Mutagenic effect (A mutation where the body cannot rid itself of toxins)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2054541

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
59,0
Geschlecht
F
Eingang
21.01.2022
Impfdatum
15.06.2021
Beginn
01.10.2021
Tage bis Beginn
108,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injected limb mobility decreased Injection site erythema Injection site inflammation Injection site pain Injection site swelling

Symptomtext

PROLONGED SWELLING, INFLAMMATION, REDNESS AND PAIN AT THE INJECTION SITE - ONSET 4 MONTHS POST 2ND DOSE. PATIENT UNABLE TO LIFT ARM.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2053965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NJ
Alter
65,0
Geschlecht
M
Eingang
21.01.2022
Impfdatum
27.06.2021
Beginn
19.01.2022
Tage bis Beginn
206,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain COVID-19 Condition aggravated Pancreatic carcinoma metastatic SARS-CoV-2 test positive

Symptomtext

Recent diagnosis metastatic pancreatic CA, cam in with abdominal pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
3,0
Labordaten
01/19/2022 - SARS-CoV-2 Antigen (++)
Aktuelle Erkrankungen
-
Vorgeschichte
Pancreatic cancer, medical noncompliance, diabetes mellitus, prior back surgery
Andere Medikamente
Unknown
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1988366

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
75,0
Geschlecht
F
Eingang
29.12.2021
Impfdatum
24.06.2021
Beginn
05.07.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blister Contusion Dyspnoea Fatigue Tongue disorder Urticaria

Symptomtext

short of breath/Breathing was laboring/still have trouble breathing at night; Sores on my tongue; blister; I get very tired easily; Hives and short of breath hives well no go away/they will not go away my doctor said she doesn't know what to do about it/myhives they flair up all the time; A week after 1st shot about 4-5 days days later I got bruise everywhere; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Hives and short of breath hives well no go away/they will not go away my doctor said she doesn't know what to do about it/myhives they flair up all the time), DYSPNOEA (short of breath/Breathing was laboring/still have trouble breathing at night), CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere), TONGUE DISORDER (Sores on my tongue) and BLISTER (blister) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048C21A and 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure high, Chest pain, Penicillin allergy (Pencillin ADR Hives), Drug allergy (Motrin), Drug allergy (Ibuprofen ADR swelling), Drug allergy (Advil) and Drug allergy (Codeine ADR Swelling). Concomitant products included PARACETAMOL (TYLENOL [PARACETAMOL]) for Pain, IRON (FERROUS [IRON]) from 10-Aug-2021 to an unknown date, COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]) and ALLOPURINOL for an unknown indication. On 24-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jul-2021, the patient experienced CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere). On 06-Jul-2021, the patient experienced URTICARIA (Hives and short of breath hives well no go away/they will not go away my doctor said she doesn't know what to do about it/myhives they flair up all the time). On an unknown date, the patient experienced DYSPNOEA (short of breath/Breathing was laboring/still have trouble breathing at night), TONGUE DISORDER (Sores on my tongue), BLISTER (blister) and FATIGUE (I get very tired easily). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date for Adverse event, at a dose of UNK(50 GR); FAMOTIDINE for Adverse event, at a dose of UNK UNK, qd; FAMOTIDINE (PEPCID [FAMOTIDINE]) for Adverse event, at a dose of 20 mg; METHYLPREDNISOLONE for Adverse event, at a dose of 125 mg; CETIRIZINE for Adverse event, at an unspecified dose and frequency; FEXOFENADINE HYDROCHLORIDE (ALLEGRA ALLERGY) for Adverse event, at an unspecified dose and frequency and LEVOCETIRIZINE DIHYDROCHLORIDE (XYZAL) for Adverse event, at an unspecified dose and frequency. At the time of the report, URTICARIA (Hives and short of breath hives well no go away/they will not go away my doctor said she doesn't know what to do about it/myhives they flair up all the time), DYSPNOEA (short of breath/Breathing was laboring/still have trouble breathing at night), CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere), TONGUE DISORDER (Sores on my tongue), BLISTER (blister) and FATIGUE (I get very tired easily) had not resolved. Not Provided Concomitant medications included Blood pressure tablets daily. Patient stated 3 to 5 days after take first shot, patient start to developing knots and itching and blister. She did not think it was come from the shot. Patient start checking bed and everything this went on for about a week and it got worst patient couldn't breath .Her body had a lots of knots and bumps, patient call her doctor and she told her to go to emergency room. They treat with medication.Ecg12lead, vr chest patient got medications for the same to get from the pharmacy.patient took this medication for a week or more and when it was gone t still have the problem itching and bumps over body and couldnt sleep and breathing became very labour. Patient went to Emergency Room and they put her on to monitors, administered with 3 shots, 1 was some kind of steroid ,another was benadryl, and 3rd was anti itch shot. She took medication for a week later again went to Emergency room they prescribed same treatment and referred to allergist. Patient was still having problem with hives. She wanted to know if there were any help. Patient informed that her doctor does not know anything to help her and she had taken all kinds of medications and creams for hives , they flair up all the time and was tired of it. Most recent FOLLOW-UP information incorporated above includes: On 16-Dec-2021: Follow up received contains patient demographics details, medical history, treatment medication, event onset date and event added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Blood pressure high; Chest pain; Drug allergy (Motrin); Drug allergy (Ibuprofen ADR swelling); Drug allergy (Codeine ADR Swelling); Drug allergy (Advil); Penicillin allergy (Pencillin ADR Hives)
Vorgeschichte
-
Andere Medikamente
FERROUS [IRON]; VITAMIN D [COLECALCIFEROL]; ALLOPURINOL; TYLENOL [PARACETAMOL]
Allergien
-
Vorherige Impfungen
-

VAERS 1981623

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MA
Alter
44,0
Geschlecht
F
Eingang
27.12.2021
Impfdatum
01.06.2021
Beginn
09.12.2021
Tage bis Beginn
191,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia COVID-19 Chest X-ray abnormal Cough Dyspnoea Fatigue Lung opacity Pyrexia SARS-CoV-2 test positive

Symptomtext

Patient presented to ED on 12/9/21 with generalized weakness, fatigue, cough, SOB and fever, found to be covid positive. patient is fully vaccinated, Patient was appropriately treated for covid and was dishcarged on 12/13/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
4,0
Labordaten
positive covid test on 12/9/21 chest x ray impression on 12/9/21: bilateral peripheral opacities, most pronounced in the lung bases, may represent atelectasis or atypical infection, such as covid 19.
Aktuelle Erkrankungen
N/A
Vorgeschichte
DM2, HTN, hypothyroidism, epilepsy, CVA, grade II left frontal astrocytoma
Andere Medikamente
acetaminophen, vitamin c , atorvastatin, citalopram, jardiance, lacosamide, levetiracetam, levothyroxine, metformin, pregabslin
Allergien
phenobarbital, phenytoin, amoxiccilin, lisinopril, amoxicillin-pot clavulanate
Vorherige Impfungen
-

VAERS 1854561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
AR
Alter
26,0
Geschlecht
F
Eingang
09.11.2021
Impfdatum
22.07.2021
Beginn
28.08.2021
Tage bis Beginn
37,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Angina pectoris Chest discomfort Chest pain Chills Fatigue Pain in extremity

Symptomtext

I experienced fatigue, chills, and a very sore arm for the few days following the shot. About a week later I started experiencing weird heart issues that continued off and on for the next week. These symptoms included sharp pain over the heart, chest constriction to where it woke me up at night, general chest pain, and the feeling that my heart was out of its normal rhythm. Symptoms began dissipating after 1 week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1837670

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
GA
Alter
46,0
Geschlecht
F
Eingang
02.11.2021
Impfdatum
28.07.2021
Beginn
01.08.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Allergy test positive Cough Dyspnoea Feeling of despair Incontinence Malaise Pulmonary function test

Symptomtext

COVID-19 vaccine round 1 administered 7/28/2021. I developed a dry cough 4 days later. The cough persisted for at least 3 weeks. I began experiencing shortness of breath soon after. I began taking Mucinex to see if it helped. It continued to get worse so I made an appointment with my general practitioner. He wasn't able to see me until September 28th. I began feeling despair as I was now incontinent while coughing. I decided to find an allergy specialist. I was able to see one on September 14th. I explained my health history to him and told him I thought this was caused by the COVID-19 vaccine. He laughed. He performed a lung function test, prescribed a steroid, 2 allergy pills, and an inhaler. He wanted to allergy test me the following week. I went in on 9/21 and I had not improved. I did another lung function test and he prescribed me another round of steriods and a different inhaler. He wouldn't perform the allergy test because I was too sick. I went again on 9/28 for the allergy testing. They said I was still coughing too much but I begged and promised that I would be still enough. I was desperate to see what new thing I was allergic to so badly. The results showed that I was allergic to everything I was allergic to as a child. Nothing had changed. Nothing was new. After being on steroids for 3 weeks, I finally felt like the tightness was loosening up a bit. I went almost 2 weeks with no cough. Then, it started back. I began coughing very frequently in mid October. I was coughing so bad the week of October 25th, I was unable to get allergy shots. I called a telemedicine doctor 11/1/2021. He prescribed steroids as well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Lung function tests 9/14/2021, 9/21/2021 and 9/28/2021. Allergy test 9/28/2021.
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
None
Allergien
Seasonal allergies
Vorherige Impfungen
-

VAERS 1801200

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
UT
Alter
63,0
Geschlecht
F
Eingang
20.10.2021
Impfdatum
02.07.2021
Beginn
07.07.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arrhythmia Chest discomfort Joint swelling Palpitations

Symptomtext

On July 7, 2021 started having swelling in ankles. On July 8 started having a heart arrythmia that consisted of skiped beats and palpitations. Also, on occasion was feeling a fullness in my chest and back. Frequencey continued over the next couple of weeks until it was occurring several hours a day. Began taking anti-inflamatories and over the course of the next 8 weeks the symptomology slowly decreased and currently is 99% resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arrhythmia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Heartburn
Andere Medikamente
Herbal supplement - GI Support
Allergien
None
Vorherige Impfungen
-

VAERS 1778565

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
KY
Alter
44,0
Geschlecht
M
Eingang
12.10.2021
Impfdatum
28.07.2021
Beginn
12.10.2021
Tage bis Beginn
76,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia Biopsy skin COVID-19 Chest pain Dyspnoea Myalgia Pyrexia Rash SARS-CoV-2 test positive

Symptomtext

45 y.o. male with a past medical history significant for DM2, hypertension, HLD, BPH, celiac disease, asthma/COPD, and solitary kidney. He presents today with complaints of retrosternal chest pain which acutely onset today around 1500. Pain is constant and associated with SOB, myalgias, weakness, and fever with t-max 101.7. He tried some tylenol with minimal relief. Patient reports his child has RSV and he initially suspected this but was concerned when chest pain persisted. He reports a suspected history of COVID-19 back in February for which he quarantined but did not get tested. In the interim, patient was diagnosed with celiac disease and obtained the first dose of Moderna vaccine two months ago. States the vaccinate made him break out in a "shingles like" rash over joints (knees elbows, ankles). Rash has persisted for two months requiring biopsy. He has therefore decided to forego the second dose while he is worked up for this reactive rash. SARS-CoV-2 positive on 10/12/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1747407

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
75,0
Geschlecht
F
Eingang
30.09.2021
Impfdatum
24.06.2021
Beginn
05.07.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Contusion Dyspnoea Fatigue Mass Pruritus Rash Tongue disorder Urticaria Vaccination complication

Symptomtext

Hives and short of breath hives well no go away/Breathing was laboring; Hives and short of breath hives well no go away; So many problems after this shot/have the shot a fews month ago but had a reaction to it and been trying something to get out of my system can you tell me something that might work; Knots all over my body/wep all over my body; Sores on my tongue; I was itching everywhere/ itching like crazy/breaks out at night, I cant sleep and am very uncomfortable; Still have rash; I get very tired easily; A week after 1st shot about 4-5 days days later I got bruise everywhere; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Hives and short of breath hives well no go away/Breathing was laboring), URTICARIA (Hives and short of breath hives well no go away), VACCINATION COMPLICATION (So many problems after this shot/have the shot a fews month ago but had a reaction to it and been trying something to get out of my system can you tell me something that might work), MASS (Knots all over my body/wep all over my body) and CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048C21A and 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension, Chest pain, Penicillin allergy, Drug allergy, Drug allergy and Drug allergy. Concomitant products included IRON, COLECALCIFEROL (VITDERA D [COLECALCIFEROL]) and ALLOPURINOL for an unknown indication. On 24-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jul-2021, the patient experienced CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere). On an unknown date, the patient experienced DYSPNOEA (Hives and short of breath hives well no go away/Breathing was laboring), URTICARIA (Hives and short of breath hives well no go away), VACCINATION COMPLICATION (So many problems after this shot/have the shot a fews month ago but had a reaction to it and been trying something to get out of my system can you tell me something that might work), MASS (Knots all over my body/wep all over my body), TONGUE DISORDER (Sores on my tongue), PRURITUS (I was itching everywhere/ itching like crazy/breaks out at night, I cant sleep and am very uncomfortable), RASH (Still have rash) and FATIGUE (I get very tired easily). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, DYSPNOEA (Hives and short of breath hives well no go away/Breathing was laboring), URTICARIA (Hives and short of breath hives well no go away), VACCINATION COMPLICATION (So many problems after this shot/have the shot a fews month ago but had a reaction to it and been trying something to get out of my system can you tell me something that might work), MASS (Knots all over my body/wep all over my body), CONTUSION (A week after 1st shot about 4-5 days days later I got bruise everywhere), TONGUE DISORDER (Sores on my tongue), PRURITUS (I was itching everywhere/ itching like crazy/breaks out at night, I cant sleep and am very uncomfortable), RASH (Still have rash) and FATIGUE (I get very tired easily) had not resolved. Patient went to Emergency Room and they put her on to monitors, administered with 3 shots, 1 was some kind of steroid ,another was benadryl, and 3rd was anti itch shot. She took medication for a week later again went to Emergency room they prescribed same treatment and referred to allergist. Concomitant medications included Blood pressure tablets daily. Most recent FOLLOW-UP information incorporated above includes: On 17-Sep-2021: Follow up received contains event details. On 23-Sep-2021: Follow up received - Patient DOB Vaccine start date, anatomical location and ,events updated.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Chest pain; Drug allergy; Hypertension; Penicillin allergy
Vorgeschichte
-
Andere Medikamente
IRON; VITDERA D [COLECALCIFEROL]; ALLOPURINOL
Allergien
-
Vorherige Impfungen
-

VAERS 1741208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NE
Alter
60,0
Geschlecht
M
Eingang
28.09.2021
Impfdatum
10.06.2021
Beginn
10.09.2021
Tage bis Beginn
92,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Allergy to vaccine Computerised tomogram Dyspnoea Electrocardiogram Heart rate increased Hyperhidrosis Hypertension Wheezing X-ray

Symptomtext

Later that night he started whizzing, sweating, shortness of breathe and a rapid heartbeat. Blood pressure came high and his wife took him to ER which he was in there for 7hr. They informed him that he was allergic to the vaccine. He also another episode on Sept 9th where he was taken back to the ER and became hospitalize

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
3,0
Labordaten
yes EKG, 4 x-rays and a ct scan
Aktuelle Erkrankungen
np
Vorgeschichte
cancer 2001 but in remission
Andere Medikamente
robostatin, testerone shot, celexa, lorsartan, synthyroid, metformin
Allergien
no
Vorherige Impfungen
-

VAERS 1706783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
AL
Alter
49,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
22.06.2021
Beginn
01.06.2021
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Headache Lymph node pain Lymphadenopathy Mobility decreased Myalgia Product dose omission issue SARS-CoV-2 test Urinary tract infection

Symptomtext

experiencing tenderness; UTI(few days later cant remember date and time)/many years ago like everybody else will experiency uti eventually; Because of fear patient did not get the 2nd dose of the vaccine/ not receiving 2nd dose; arm soreness/body aches; swelling on the lymph nodes in her armpit/ "large one" which bother hers and goes to the side next to her breast/ swelling on the lymph node in her neck/SWOLLEN LYMPH NODES ON THE SAME ARM ( ARM PIT, NEXT TO LEFT BREAST,NECK; not able to close her arm; fatigue; headaches; This spontaneous case was reported by a consumer and describes the occurrence of URINARY TRACT INFECTION (UTI(few days later cant remember date and time)/many years ago like everybody else will experiency uti eventually), PRODUCT DOSE OMISSION ISSUE (Because of fear patient did not get the 2nd dose of the vaccine/ not receiving 2nd dose), MOBILITY DECREASED (not able to close her arm), LYMPH NODE PAIN (experiencing tenderness) and LYMPHADENOPATHY (swelling on the lymph nodes in her armpit/ "large one" which bother hers and goes to the side next to her breast/ swelling on the lymph node in her neck/SWOLLEN LYMPH NODES ON THE SAME ARM ( ARM PIT, NEXT TO LEFT BREAST,NECK) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009d21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included SERTRALINE for Anxiety, LOSARTAN for Blood pressure, METFORMIN for Blood sugar level fluctuation. On 22-Jun-2021 at 5:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In June 2021, the patient experienced MOBILITY DECREASED (not able to close her arm). On 23-Jun-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced LYMPHADENOPATHY (swelling on the lymph nodes in her armpit/ "large one" which bother hers and goes to the side next to her breast/ swelling on the lymph node in her neck/SWOLLEN LYMPH NODES ON THE SAME ARM ( ARM PIT, NEXT TO LEFT BREAST,NECK). On an unknown date, the patient experienced URINARY TRACT INFECTION (UTI(few days later cant remember date and time)/many years ago like everybody else will experiency uti eventually), PRODUCT DOSE OMISSION ISSUE (Because of fear patient did not get the 2nd dose of the vaccine/ not receiving 2nd dose), LYMPH NODE PAIN (experiencing tenderness) and MYALGIA (arm soreness/body aches). an unknown date, the patient experienced FATIGUE (fatigue) and HEADACHE (headaches). The patient was treated with AZITHROMYCIN for Adverse event, at a dose of started last week; IBUPROFEN for Swollen lymph nodes, at an unspecified dose and frequency; PARACETAMOL (TYLENOL) for Fatigue, Pain in arm and Headache, at an unspecified dose and frequency and Physical therapy (heat pads) for Lymphadenopathy. At the time of the report, URINARY TRACT INFECTION (UTI(few days later cant remember date and time)/many years ago like everybody else will experiency uti eventually), PRODUCT DOSE OMISSION ISSUE (Because of fear patient did not get the 2nd dose of the vaccine/ not receiving 2nd dose), FATIGUE (fatigue), HEADACHE (headaches) and MYALGIA (arm soreness/body aches) had resolved, MOBILITY DECREASED (not able to close her arm) and LYMPH NODE PAIN (experiencing tenderness) outcome was unknown and LYMPHADENOPATHY (swelling on the lymph nodes in her armpit/ "large one" which bother hers and goes to the side next to her breast/ swelling on the lymph node in her neck/SWOLLEN LYMPH NODES ON THE SAME ARM ( ARM PIT, NEXT TO LEFT BREAST,NECK) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-Jan-2021, SARS-CoV-2 test: positive (Positive) Type of test: NASAL(NOSTRIL). The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered URINARY TRACT INFECTION (UTI(few days later cant remember date and time)/many years ago like everybody else will experiency uti eventually) and LYMPHADENOPATHY (swelling on the lymph nodes in her armpit/ "large one" which bother hers and goes to the side next to her breast/ swelling on the lymph node in her neck/SWOLLEN LYMPH NODES ON THE SAME ARM ( ARM PIT, NEXT TO LEFT BREAST,NECK) to be probably related. No further causality assessments were provided for PRODUCT DOSE OMISSION ISSUE (Because of fear patient did not get the 2nd dose of the vaccine/ not receiving 2nd dose), MOBILITY DECREASED (not able to close her arm), LYMPH NODE PAIN (experiencing tenderness), FATIGUE (fatigue), HEADACHE (headaches) and MYALGIA (arm soreness/body aches). Patient stated that she was going to have a biopsy on her lymph nodes. Treatment information also included heat pads. Most recent FOLLOW-UP information incorporated above includes: On 06-Sep-2021: Non Significant Follow up-mail document attached On 06-Sep-2021: Significant follow up appended- Added Patient demographic details, Test information, concomitant and treatment drugs and event outcome.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
Test Date: 20210104; Test Name: COVID-19 Test; Test Result: Positive ; Result Unstructured Data: Type of test: NASAL(NOSTRIL); Comments: Type of test: NASAL(NOSTRIL)
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
LOSARTAN; METFORMIN; SERTRALINE
Allergien
-
Vorherige Impfungen
-

VAERS 1682519

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
VA
Alter
79,0
Geschlecht
M
Eingang
08.09.2021
Impfdatum
03.09.2021
Beginn
03.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Injected limb mobility decreased

Symptomtext

Four hours after vaccine he started getting severe pains in left shoulder joint. Unable to move arm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Diabetes Chronic Pains
Andere Medikamente
None
Allergien
Bee Stings Clindamycin
Vorherige Impfungen
-

VAERS 1681627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CO
Alter
71,0
Geschlecht
F
Eingang
08.09.2021
Impfdatum
22.07.2021
Beginn
22.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea Erythema Lip swelling Paraesthesia oral Sneezing Swelling Swelling face

Symptomtext

Left side of her face was red and swollen.; She woke up in the morning and found little swelling on left side of body.; Left side of her face was red and swollen.; About 2 minutes later, her lips got tingling; her lips got tingling and they were swollen for about an hour.; 10 hours later, she had 2 big sneezes; She couldn't breathe through her nose; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA ORAL (About 2 minutes later, her lips got tingling), LIP SWELLING (her lips got tingling and they were swollen for about an hour.), SNEEZING (10 hours later, she had 2 big sneezes), DYSPNOEA (She couldn't breathe through her nose) and SWELLING FACE (Left side of her face was red and swollen.) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) and FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) for an unknown indication. On 22-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Jul-2021, the patient experienced PARAESTHESIA ORAL (About 2 minutes later, her lips got tingling), LIP SWELLING (her lips got tingling and they were swollen for about an hour.), SNEEZING (10 hours later, she had 2 big sneezes), DYSPNOEA (She couldn't breathe through her nose) and ERYTHEMA (Left side of her face was red and swollen.). On an unknown date, the patient experienced SWELLING FACE (Left side of her face was red and swollen.) and SWELLING (She woke up in the morning and found little swelling on left side of body.). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, PARAESTHESIA ORAL (About 2 minutes later, her lips got tingling), LIP SWELLING (her lips got tingling and they were swollen for about an hour.), SNEEZING (10 hours later, she had 2 big sneezes), DYSPNOEA (She couldn't breathe through her nose), SWELLING FACE (Left side of her face was red and swollen.), ERYTHEMA (Left side of her face was red and swollen.) and SWELLING (She woke up in the morning and found little swelling on left side of body.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter
Andere Medikamente
SYNTHROID; ADVAIR
Allergien
-
Vorherige Impfungen
-

VAERS 1641442

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
WA
Alter
36,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
23.07.2021
Beginn
23.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Dizziness Feeling abnormal Hypoaesthesia Impaired work ability Influenza like illness Joint range of motion decreased Musculoskeletal stiffness Nausea Neck pain Pain in extremity Paraesthesia Pyrexia

Symptomtext

Within 4 hours, I was feeling nauseas. I was feeling feverish. My arm started aching and felt really bruised into my shoulder. It was pretty stiff. This lasted for about 5 days. I was feeling feverish and flu-ish. The highest that my temperature got was 101.2. I took ibuprofen and tried to stay hydrated. I also slept to get it to go away. My arm started feeling slightly better. I wasn't able to lift it very high. I had a lot of numbness with pins and needles. I was having pains in my elbow, my shoulder, and into my neck. It was pretty rough. I went to work, but I wasn't able to do a lot of cleaning and scrubbing. About 3 weeks later, I was able to treat my shoulder mostly normal. It did go numb at one point on my left side. Last week at work, my right arm started going number up to my jaw. I felt like I was going to pass out. We had just increased my Gabapentin dosage up so we thought it might have been that. I've been babying it and doing some exercises. It still feels pretty stiff a lot. I woke up with a stiff arm again this morning. It has been kind of an ongoing thing since. When my jaw started going numb I decided I needed to figure out what was going on. I hadn't had these kind of issues with numbing before. My whole body just felt like it was drooping and I've never experienced that before.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PTSD, Depression, Anxiety, OCD
Andere Medikamente
Gabapentin, Venlafaxine, Prazosin, B complex, Melatonin, Allegra.
Allergien
Lactose intolerant, Hydrocodone
Vorherige Impfungen
-

VAERS 1641418

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MA
Alter
47,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
02.06.2021
Beginn
02.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Dizziness Electrocardiogram Feeling abnormal Glomerular filtration rate decreased Headache Loss of personal independence in daily activities Migraine Pain Pain in extremity Palpitations Pyrexia Ultrasound kidney

Symptomtext

Beginning approximately 8.5hrs after receiving vaccination I experienced a severe throbbing headache/migraine, brain fog, dizziness, chills, fever, body aches, arm soreness. The fever, body aches and arm soreness lasted approximately 3 days. The severe throbbing headache lasted 4 days. The brain fog and dizziness lasted for several weeks/months and is just now maybe getting better. I have continued to have headaches (most often not severe) nearly every day since receiving the 2nd Covid vaccination. This is what has prompted ,me to finally file a VAERS report. These headaches occur especially when I wake up in the morning, but also off and on throughout the day. I also experienced heart palpitations multiple times per day including one day while running (approx 3 weeks after vaccination) which caused me to stop my activity. Prior to the 2nd COVID vaccination I almost never had a headache nor heart palpitations. The palpitations do possibly seem to be becoming less frequent, but unfortunately I am concerned about these health effects which is making it difficult for me to enjoy the active lifestyle I had before COVID vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
EKG, metabolic panel (July 9, 2021), kidney ultrasound because of low GFR rate (July 23, 2021).
Aktuelle Erkrankungen
Diagnosed celiac disease at age 42. Likely leaky gut. Eat a strict gluten free diet.
Vorgeschichte
Diagnosed celiac disease at age 42. Eat a strict gluten free diet. Experience GI and neurological symptoms with gluten exposure.
Andere Medikamente
None
Allergien
Gluten; penicillin
Vorherige Impfungen
-

VAERS 1640513

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
18.06.2021
Beginn
18.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain upper Bone pain Dizziness Dyspnoea Eye swelling Feeling abnormal Hypersensitivity Hypoaesthesia Lip swelling Mastication disorder Pain in jaw Pyrexia Toothache Urticaria

Symptomtext

Now has bone pain; Hard to eat; Joint pain in jaw and teeth; Joint pain in jaw and teeth; Fever; Allergic reaction; Hives all over the body; Difficulty breathing; Swollen lips; Swollen eyes; Numbness in hands and feet; Numbness in hands and feet; Felt very dizzy; Was out of it; Massive stomach pain; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Allergic reaction), URTICARIA (Hives all over the body), DYSPNOEA (Difficulty breathing), LIP SWELLING (Swollen lips) and EYE SWELLING (Swollen eyes) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Nickel sensitivity and Allergy to metals (Lithium). Concomitant products included AMFETAMINE ASPARTATE, AMFETAMINE SULFATE, DEXAMFETAMINE SACCHARATE, DEXAMFETAMINE SULFATE (ADDERALL) for an unknown indication. On 18-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Jun-2021, the patient experienced HYPERSENSITIVITY (Allergic reaction), URTICARIA (Hives all over the body), DYSPNOEA (Difficulty breathing), LIP SWELLING (Swollen lips), EYE SWELLING (Swollen eyes), the first episode of HYPOAESTHESIA (Numbness in hands and feet), the second episode of HYPOAESTHESIA (Numbness in hands and feet), DIZZINESS (Felt very dizzy), FEELING ABNORMAL (Was out of it) and ABDOMINAL PAIN UPPER (Massive stomach pain). On an unknown date, the patient experienced BONE PAIN (Now has bone pain), PYREXIA (Fever), MASTICATION DISORDER (Hard to eat), PAIN IN JAW (Joint pain in jaw and teeth) and TOOTHACHE (Joint pain in jaw and teeth). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, DIPHENHYDRAMINE HYDROCHLORIDE, PSEUDOEPHEDRINE (BENADRYL CHILDREN [DEXTROMETHORPHAN HYDROBROMIDE;DIPHENHYDRAMINE HYDROCHLORIDE;PSEUDOEPHEDRINE]) at an unspecified dose and frequency; PREDNISONE for Stomach pain, at an unspecified dose and frequency and HYDROCODONE for Stomach pain, at an unspecified dose and frequency. At the time of the report, HYPERSENSITIVITY (Allergic reaction), URTICARIA (Hives all over the body), DYSPNOEA (Difficulty breathing), LIP SWELLING (Swollen lips), EYE SWELLING (Swollen eyes) and the last episode of HYPOAESTHESIA (Numbness in hands and feet) had not resolved and DIZZINESS (Felt very dizzy), FEELING ABNORMAL (Was out of it), ABDOMINAL PAIN UPPER (Massive stomach pain), BONE PAIN (Now has bone pain), PYREXIA (Fever), MASTICATION DISORDER (Hard to eat), PAIN IN JAW (Joint pain in jaw and teeth) and TOOTHACHE (Joint pain in jaw and teeth) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient stated that she could not afford to go to the ER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy to metals (Lithium); Nickel sensitivity
Vorgeschichte
-
Andere Medikamente
ADDERALL
Allergien
-
Vorherige Impfungen
-

VAERS 1582303

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
AZ
Alter
22,0
Geschlecht
M
Eingang
18.08.2021
Impfdatum
19.05.2021
Beginn
27.05.2021
Tage bis Beginn
8,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Chest X-ray Dyspnoea Electrocardiogram Fatigue Palpitations Sinusitis Thyroid disorder Tremor Ultrasound thyroid Weight decreased

Symptomtext

Fatigue, trouble breathing, heart racing, weight loss 6/2/21 - Doctor visit-fatigue, breathing issues. Prescribed meds for sinus infection 6/7/21 - Doctor visit-shaking, fatigue, heart pounding, weight loss. Ordered bloodwork, xray of lunbs 6/17/21 - Doctor visit-follow up - reviewed bloodwork. Prescribed meds for thyroid issue. Ordered electrocardiogram & ultrasound of thyroid 6/29/21 - Specialist visit - reviewed bloodwork. Did ultrasound in office. Follow up visit in 3-4 hours and bloodwork 7/16/21 - Specialist visit - reviewed bloodwork. Quadrupled medication. Follow up visit in 3-4 hours and bloodwork 8/4/21 - Doctor visit - follow up to discuss thyroid issue 8/16/21 - Specialist visit - reviewed bloodwork. Follow up visit in 3-4 hours and bloodwork

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Bloodwork - 6/17, 6/22, 7/9 & 8/5 (dates are appx) Xray of lungs - 6/7 Ultrasound of thyroid - 6/23, 6/29
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1575470

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
CA
Alter
55,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
14.06.2021
Beginn
14.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Pain

Symptomtext

My chest hurts when I ride my bike. It hurts if I walk around like from one location to another. Not at home.. The first shot I got on May 17th, 2021 I was just fine except for a sore spot from the shot. If was when I got the second shot , I waited for 15 minutes before I got up and left. I then went over to where the bicycle items were and then I seemed fine but after a few minutes I left Walmart and went outside. This is when I felt like I wanted to lay down on the ground. I sat down. After a period of time I felt better. So then got on my bike and rode home. Then for the next 30 hours I felt like sh*t. I did not want to do anything at all. After 24 to 30 hours i started to feel better. However almost w everytime i ride my bike, my chest hurts really bad. I wonder if i am going to have a heart attack. It has stayed the same all along

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
N/a
Vorgeschichte
GERD
Andere Medikamente
Omeprezole / for GERD
Allergien
Sulfa., NSAID & diprivan
Vorherige Impfungen
-

VAERS 1558258

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NM
Alter
57,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
24.07.2021
Beginn
24.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Exercise tolerance decreased Injected limb mobility decreased Injection site pain Pain Pain in extremity

Symptomtext

Patient presented to the pharmacy and reports sore arm that radiates from injection site in left deltoid to hand. States she's unable to use her left arm/hand well and has not been able to work out to her full capacity and tolerance is about 30% of baseline.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unk
Vorgeschichte
unk
Andere Medikamente
unk
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1515367

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
TX
Alter
47,0
Geschlecht
F
Eingang
30.07.2021
Impfdatum
09.07.2021
Beginn
09.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Ageusia Asthenia Chest pain Chills Dyspnoea Feeling cold Headache Myalgia Pyrexia Sensory loss Spinal pain

Symptomtext

Fever, chills, weakness, labored breathing, chest pain, loss taste, spine is feeling paralyzed then when senses is back and it is too painful, feeling so cold like winter, severe headaches and muscle aches. for 48 hours. Drink plenty of water, rest, sleep.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Just took tylenol only and rest at home.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1512551

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
FL
Alter
52,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
03.07.2021
Beginn
03.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea Feeling hot Heart rate increased Mania

Symptomtext

Patient expressed feeling hot and short of breath shortly after receiving the Moderna Vaccine. Paramedics were called as a precaution, but the patient appeared to be refusing treatment. She had no visible symptoms other than a manic state. The paramedics said that she had an elevated heart rate. The paramedics took her outside for further evaluation. She later returned to the Pharmacy stating that she did go to the hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
1,0
Labordaten
unknown
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Unknown
Allergien
-
Vorherige Impfungen
She mentioned something about a previous Haldol injection, but didn't provide specifics.

VAERS 1512208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
SC
Alter
53,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
24.07.2021
Beginn
24.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dizziness Flushing Heart rate increased Hyperhidrosis Paraesthesia Tachycardia Taste disorder Vision blurred Visual impairment

Symptomtext

Systemic: Dizziness / Lightheadness-Severe, Systemic: patient described altered taste and rapid heart rate and vision blurriness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Tachycardia-Medium, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Visual Changes/Disturbances-Severe, Additional Details: pt requested an ambulance due to altered vision - the patient did not exhibit symptoms that warranted benadryl or epinephrine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1493982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
76,0
Geschlecht
F
Eingang
28.07.2021
Impfdatum
08.07.2021
Beginn
08.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Limb injury Paraesthesia Injection site pain

Symptomtext

Site: Pain at Injection Site-Severe

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1461649

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
VA
Alter
44,0
Geschlecht
F
Eingang
24.07.2021
Impfdatum
09.07.2021
Beginn
09.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood pressure systolic increased Dizziness Dysstasia Feeling abnormal Hypoaesthesia Nausea Paraesthesia Vertigo

Symptomtext

7/08/21 within 5 mintues of vaccination pt became lightheaded, dizzy, nauseaus and complaining of vertigo while sitting down outside the pharmacy window. gave 2 glucose tablets, 15 min later pt still felt the same symptoms, blood pressure was taken systolic over 150 HR remained in the low 70s. 15 min later pt still felt the same symptoms, blood pressure was taken systolic over 160 cool pack placed on pt neck, remained in sitting position. Another 15 min past granola snack given, pt blood pressure systolic still over 160 with normal sinus rhythm in the 70s, nausea subsided, pt still feeling vertigo and lightheadness. Another 15 min past systolic blood pressure over 150, pt complaining of vertigo and feeling weird, unable to stand alone. Family member came to pick up pt due to complaint of vertigo and dizziness. Everyday after the 8th of July to present day this patient has had vertigo without movement along with transient numbness and tingling of right side of face. No treatment taken 7/20 MD notified of vertigo awaiting response 7/23 MD interviewed pt and prescribed medication for vertigo and recommended to report reaction to vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
only blood pressure taken, pharmacy has proper documentation
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1499279

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
FL
Alter
36,0
Geschlecht
M
Eingang
23.07.2021
Impfdatum
21.07.2021
Beginn
22.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SC / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain upper Anxiety Confusional state Cough Eye swelling Headache Injection site pain Insomnia Nasal congestion Nausea Paraesthesia Swelling face Urticaria

Symptomtext

16 hours after injection: Facial swelling around right eye for 18 hours. Hives (raised bumps) along left side of body and upper back area. Hives lasted about 6 hours, or about 3 hours after taking diphenhydramine 50mg. 12 hours after injection for about 8 hours: insomnia, tingling in lower legs, mild pain around injection site, stomach pain/nausea, headache, cough, stuffy nose, confusion/anxiety.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
Ibuprofen
Vorherige Impfungen
-

VAERS 1466876

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
OH
Alter
63,0
Geschlecht
F
Eingang
20.07.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anaesthesia oral Chest discomfort Nausea Paraesthesia oral Somnolence

Symptomtext

tongue change sensation, persistent nausea and heavy chest

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
N/A
Vorgeschichte
Fibromyalgia, hypothyroidism
Andere Medikamente
calcium + vitamin D, Duloxetine, Gabapentin, Levothyroxine, Tylenol, Vitamin B complex
Allergien
Aspirin, Ibuprofen, Hydrocodone
Vorherige Impfungen
-

VAERS 1470420

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
WI
Alter
39,0
Geschlecht
F
Eingang
18.07.2021
Impfdatum
29.06.2021
Beginn
04.07.2021
Tage bis Beginn
5,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia Blood test Dyspnoea Headache Hypoaesthesia CSF test abnormal Dizziness Fatigue Inflammatory marker increased Lumbar puncture Magnetic resonance imaging normal Magnetic resonance imaging Musculoskeletal stiffness Paraesthesia

Symptomtext

Numbness in arms and legs Difficulty breathing Severe body weakness and fatigue Dizziness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
2,0
Labordaten
MRI-ruled out MS ruled out Guillain-Barre Spinal tap - elevated inflammatory markers in spinal fluid
Aktuelle Erkrankungen
none known
Vorgeschichte
occasional migraines
Andere Medikamente
Rizatriptan 10mg ODT prn
Allergien
none known
Vorherige Impfungen
-

VAERS 1478600

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
FL
Alter
32,0
Geschlecht
F
Eingang
16.07.2021
Impfdatum
07.07.2021
Beginn
16.07.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Breast pain Injection site erythema Injection site pruritus Injection site swelling Injection site pain Paraesthesia

Symptomtext

pts experianced few days after vaccine redness at injection site, itching, swelling , breast pain, tingling in left arm, left armpit pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
pts experianced few days after vaccine redness at injection site, itching, swelling , breast pain, tingling in left arm, left armpit pain.
Allergien
-
Vorherige Impfungen
-

VAERS 1471482

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
37,0
Geschlecht
M
Eingang
14.07.2021
Impfdatum
16.06.2021
Beginn
17.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dyspnoea

Symptomtext

Patient stated that he had trouble catching his breath the next day after receiving the first dose of Moderna Covid-19 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1466761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
FL
Alter
48,0
Geschlecht
F
Eingang
13.07.2021
Impfdatum
24.06.2021
Beginn
27.06.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Gastrointestinal motility disorder Hypoaesthesia Monoplegia Paraesthesia Sensory disturbance Urinary tract disorder

Symptomtext

unable to move right leg, tingly and numb, pins and needles, feels like a constant buzz in the leg symptoms started with toes bottom of foot and has progressed up to just below the right breast has not affected breathing but has affected ability to urinate and bowel movements

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
one a day, female, celexa
Allergien
bactrim, sulfa medications
Vorherige Impfungen
-

VAERS 1464739

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
SC
Alter
82,0
Geschlecht
F
Eingang
12.07.2021
Impfdatum
08.07.2021
Beginn
09.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Asthenia Chronic obstructive pulmonary disease Condition aggravated Dyspnoea Pyrexia Wheezing

Symptomtext

The day following the second Moderna imz, pt went to ER due to high fever, weakness and exacerbation of COPD with wheezing and difficulty breathing

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Asthma and brochitis
Vorgeschichte
COPD, diabetes
Andere Medikamente
ipratropium/albuterol neb soln, cetirizine, lisinopril, omeprazole, metformin, mirtazapine, prednisone, Trelegy
Allergien
none
Vorherige Impfungen
-

VAERS 1463607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
44,0
Geschlecht
F
Eingang
11.07.2021
Impfdatum
09.07.2021
Beginn
10.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Body temperature increased Dyspnoea Feeling abnormal Pruritus

Symptomtext

101 temp pm 07/11 feels like "ran over by train" small shortness of breath and itch

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1463592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
43,0
Geschlecht
M
Eingang
11.07.2021
Impfdatum
09.07.2021
Beginn
10.07.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dyspnoea Malaise Pruritus Pyrexia

Symptomtext

101 fever on 07/10 pm, "feel ran over by train", itchy, small shortness of breath.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1463507

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
SC
Alter
51,0
Geschlecht
F
Eingang
11.07.2021
Impfdatum
06.07.2021
Beginn
07.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Fatigue Headache Injection site erythema Injection site pain Injection site paraesthesia Injection site pruritus Injection site swelling Injection site vesicles Pain Pyrexia

Symptomtext

Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Blistering at site of injection and down the arm-Medium, Systemic: Headache-Mild, Additional Details: Pt presented 5 days post immunization with blistering at and around injection site on right arm. Day 1 post injection stated she had fever, chills, body aches, headaches. Day 2 said she had tingling in injection arm, but didn't see anything. Day 4 post injection she noticed blistering and redness at injection site and down her arm. Day 5, blistering still present and came into pharmacy to report

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1463368

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MA
Alter
65,0
Geschlecht
M
Eingang
11.07.2021
Impfdatum
10.07.2021
Beginn
10.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Asthenia Chest discomfort Chest pain Dizziness Dysphagia Dyspnoea Fatigue Flushing Hyperhidrosis Hypotension Injection site bruising Lethargy Throat tightness Visual impairment

Symptomtext

Site: Bruising at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1462088

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
KS
Alter
32,0
Geschlecht
M
Eingang
10.07.2021
Impfdatum
10.07.2021
Beginn
10.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Paraesthesia

Symptomtext

patient shortly after sitting down felt tingling all over and started to sweat-stopped right away, checked bp and applied cool packs to wrists/neck/head 10:13am 149/88 bp and 74 pulse, 147/99 @10:22am, 142/93 @10:28am and left pharmacy area, 11:20 stopped backed by to say feeling good faxed primary care doctor about event

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1458473

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
KY
Alter
22,0
Geschlecht
M
Eingang
08.07.2021
Impfdatum
01.07.2021
Beginn
02.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chest pain Chills Hypoaesthesia Nausea Pain Painful respiration Palpitations Paraesthesia Pyrexia Vomiting

Symptomtext

ON jULY2ND-jULY 4TH FEVER, CHILLS, NAUSEA, VOMITING, BODY ACHES,. OVER THE NEXT FEW DAYS HE DEVELOPED CHEST PAIN, PALPITATIONS. CHEST PAIN WITH DEEP BREATH., LEFT HAND AND ARM WITH NUMBNESS, TINGLING

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
anxiety, depression, Aspergers syndrome, GERD, Hyperlipidemia
Vorgeschichte
anxiety, depression, Asperger's syndrome
Andere Medikamente
crestor 10 mg q day, pantoprazole 40 mg daily, fluoxetine 30 mg daily, seroquel 10 mg daily, tylenol. Mother gave him 1 promethazine 25 mg of hers on July3rd.
Allergien
sulfa=hives,rash, hallucination dextromethorphan= hallucinations
Vorherige Impfungen
-

VAERS 1450951

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
GA
Alter
51,0
Geschlecht
F
Eingang
06.07.2021
Impfdatum
26.06.2021
Beginn
03.07.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Nodule Pain in extremity Palpitations Peripheral swelling Skin warm

Symptomtext

Patient received her first COVID-19 shot on 6/26/21 and called today to report that the swelling, redness, knot, heat, and pain in her arm still persist. She also said she has pain in her leg as well as heart palpitations. She did say that she's had heart palpitations in the past. These symptoms started about 2-3 days ago, she also said. I advised her to take Tylenol and to use a cold compress. She said she did not have plain Tylenol on hand and would take Tylenol, which she takes for arthritis. I advised her to try to get some plain Tylenol but to take what she had if she was in pain and could not wait. I also advised her to follow up with her doctor, especially regarding the palpitations. She said she would follow the above recommendations.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
HTN, asthma, neuropathy
Andere Medikamente
albuterol inhaler, prednisone, amlodipine, gabapentin, Tylenol, venlafaxine , duloxetine , Ibuprofen, hydrochlorothiazide , nervive nerve relief,
Allergien
NKA
Vorherige Impfungen
-

VAERS 1446569

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
SC
Alter
51,0
Geschlecht
F
Eingang
04.07.2021
Impfdatum
19.06.2021
Beginn
20.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Cellulitis Erythema Fatigue Headache Injected limb mobility decreased Injection site nodule Injection site swelling Pain in extremity Peripheral swelling Skin warm

Symptomtext

Starting on the next morning after the vaccine, I had a knot at the injection site and I could not move my arm, mild headache, fatigue and loss of energy. I took some Ibuprofen and rested. I could not go to work that Monday and the next day everything started to improve and get better. By day 3 , I was feeling completely better. On day 6, I noticed the injection site having a squishiness around the injection site which resolved by the next day. Then on day 8, I woke up with arm pain, swollen arm, red, and hot to the touch. I called the pharmacy and was advised to go to the Urgent Care. I went to the Urgent Care and was diagnosed with cellulitis and gave me a RX for Keflex 500mg four times a day and Motrin 600mg three times a day for 7 days and follow up with PCP. I saw my PCP who also confirmed cellulitis and to continue the medications prescribed at Urgent Care. I feel much better. I still have a little redness on my arm and will follow up my PCP. My doctor will reach out to Infectious Disease to see if I should get my 2nd dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
high blood pressure
Andere Medikamente
Amlopidine 10mg once a day Amitriptyline 25mg once a day
Allergien
magnesium sulfate
Vorherige Impfungen
-

VAERS 1446555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
46,0
Geschlecht
M
Eingang
04.07.2021
Impfdatum
16.06.2021
Beginn
17.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Chills Dyspnoea Fatigue Headache Injection site pain Mobility decreased Nausea Pain Pain in extremity Palpitations Peripheral swelling

Symptomtext

I had injection site pain . I woke up the next day with chills, body aches and pain, chest pains, heart palpitations, shortness of breath, arm soreness and swelling, fatigue, nausea and I could not get out of bed. I called the hospital and left a message. The doctor called me back and advised me to go to the ER. By the time the doctor called me back, my chest pains and heart palpitations had resolved. The other symptoms still persisted- extreme fatigue and headache which lasted another 4 days. I started to feel better and it took about 6 days for all symptoms to resolve. I did not go to the ER since the cardiac symptoms have resolved. I am still having SOB.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Congestive heart failure,
Andere Medikamente
Brillinta, Lisinopril, Aspirin, Zetia, Crestor, Pantoprazole, Metoprolol, Cyclobenazprine
Allergien
Lipitor
Vorherige Impfungen
-

VAERS 1446471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
FL
Alter
34,0
Geschlecht
F
Eingang
04.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Paraesthesia oral Pharyngeal paraesthesia Swollen tongue

Symptomtext

Moderna COVID-19 Vaccine EUA Eleven minutes after receiving the vaccine, my tongue became very swollen and tingly. My throat also started to tingle. I walked up to the pharmacist and advised her of the potential allergic reaction and asked for Benadryl. I was given liquid Benadryl to drink. Within about 30-45 minutes after taking the Benadryl, the swelling was going down rapidly.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Mitral and tricuspid valve regurgitation
Andere Medikamente
-
Allergien
Erythromycin, vancomycin
Vorherige Impfungen
-

VAERS 1441113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
PA
Alter
70,0
Geschlecht
M
Eingang
01.07.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Feeling hot Hyperhidrosis Tremor

Symptomtext

Patient stated before vaccination that he had no reaction to 1st dose of Moderna.15 minutes after injection, patient started feeling faint. When speaking to him, he would look at me but didn't seem to understand what I was saying as he wasn't responding to questions. He said in a weak voice that he felt faint and hot and didn't communicate much other than that. He was shakey and sweaty. We gave him an ice pack for the back of his neck, took his blood pressure/pulse, and called an ambulance. BP was 110/64, pulse 101. About 10 minutes later he had to use the restroom and we assisted him to the restroom. Upon returning to the pharmacy, the paramedics were on scene and he was feeling and looking better. They took his BP again and it was 127/72. The paramedics stayed with him for a while, but he was unwilling to go to the ER. They took his BP again which was 139/85 and pulse 66. After paramedics left about a half an hour later, he stayed seated at the pharmacy and was supervised for another 20min. Patient stated he felt fine and went home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
no
Vorgeschichte
heart
Andere Medikamente
pantoprazole, potassium chlor, magnesium ox , furosemide, rosuvastatin, clopidogrel, spironolactone, irbesartan
Allergien
penicillin
Vorherige Impfungen
-

VAERS 1385485

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
AZ
Alter
38,0
Geschlecht
M
Eingang
01.07.2021
Impfdatum
04.06.2021
Beginn
07.06.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia Anosmia Asthenia Fatigue Lymphadenopathy Blood test normal Dry mouth SARS-CoV-2 test negative Migraine Myalgia Parosmia Pyrexia Taste disorder

Symptomtext

patient had covid several weeks prior to first dose of vaccine. patient experienced a loss of taste and a loss of smell for 3 days then the sense of taste and smell returned. patiene was quarantined after testing positive . Several weeks later patient received the 1 st dose of moderna 5/7/2021 then he received the second dose of moderna on 6/4/2021 patient loss his sense of taste and smell . Patient tested negative 3 times after receiving the vaccine but still loss his sense of taste and smell. Patient states that he has to force himself to eat and that he lost 15 pounds in 1 month . Patient states he is also experiencing cotton mouth and his mouth is constantly dry .

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
patient went to the emergency room due to this and all of the blood test came back negative
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
ibuprofen otc
Allergien
none
Vorherige Impfungen
-

VAERS 1434300

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CA
Alter
57,0
Geschlecht
M
Eingang
29.06.2021
Impfdatum
11.06.2021
Beginn
11.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Rheumatoid arthritis

Symptomtext

Per patient his rheumatoid arthritis exacerbate. Pain is worst all over after his second moderna shot.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
RA
Vorgeschichte
RA
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1431503

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge #009D21A

moderat
Staat
TX
Alter
61,0
Geschlecht
F
Eingang
28.06.2021
Impfdatum
16.06.2021
Beginn
23.06.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Dyspnoea Headache Listless Vaccination site pain

Symptomtext

Dizziness, headache, intramuscular pain where the vaccine was given, shortness of breath and listlessness in the body

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
no
Aktuelle Erkrankungen
high blood pressure
Vorgeschichte
no
Andere Medikamente
inalapril
Allergien
no
Vorherige Impfungen
-

VAERS 1429795

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
FL
Alter
39,0
Geschlecht
F
Eingang
26.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Nausea Paraesthesia Vomiting

Symptomtext

Patient received second Moderna vaccine at approximately 6:05pm. At approximately 6:15pm, she came over to the pickup and stated she had tingling in her feet and felt nauseous. I told her to sit down. She was given a shopping bag and did vomit some into the bag. I gave her an ice pack. She said she had a bad headache, but no dizziness. Her blood pressure was 126/90 at 6:26pm. She does not know her typical blood pressure reading. She stated she was feeling a little better and was ready to leave approximately 6:40pm. She stayed until approximately 6:50pm and left with her husband.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
megace, tramadol
Allergien
nsaids
Vorherige Impfungen
-

VAERS 1428046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
IN
Alter
42,0
Geschlecht
F
Eingang
25.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Discomfort Feeling of body temperature change Mobility decreased Pain Peripheral swelling Pyrexia

Symptomtext

Arm swelling, started to swell up early evening despite constantly moving it and massaging the shot site area. Fever came shortly thereafter, 99.9 then progressed higher throughout the night at 101.5. Body aches are immensely painful, hard to maneuver limbs. Also chills as my body has been constantly cold then hot. Extremely uncomfortable.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Flonase
Allergien
None
Vorherige Impfungen
-

VAERS 1427773

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CA
Alter
62,0
Geschlecht
F
Eingang
25.06.2021
Impfdatum
25.06.2021
Beginn
25.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Carpal tunnel syndrome Chest discomfort Dyspnoea Headache Myalgia Pain Pain in extremity

Symptomtext

Per pt's agent, Pt had arm pain going down her Right arm (vaccine given in Right deltoid) within 15 minutes of receiving vaccine. Pt left after 15 minutes (pt did not notify us of anything wrong, and went straight to her PCP). Pt's agent said within 1 hour of the vaccine, pt was experiencing arm pain that radiated to neck, shaking, headache, heavy feeling of chest accompanied by shortness of breath, general muscle pain, and worsening of her carpal tunnel. pt agent said PCP gave pt benadryl shot, and prescribed pt hydroxyzine and diazepam (which were promptly picked up by pt agent to be delivered to the pt). Pt relayed all the above information to us as she was on the phone with the pt during this whole conversation. We will follow up with pt today.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
Asthma, Heart Disease, pulmonary disease, neuromuscular disease, neurologic disorder
Vorgeschichte
Asthma, Heart Disease, pulmonary disease, neuromuscular disease, neurologic disorder
Andere Medikamente
Pancreaze, Brand name Singulair, Halobetasol 0.05% cream, Metformin, Methocarbamol, eszopiclone, levothyroxine, Levalbuterol, losartan, buspirone, sertraline, theophylline, potassium chloride, Advair Diskus, Omeprazole, famotidine
Allergien
Iodine, penicillin, macrolides, statins, NSAIDS
Vorherige Impfungen
-

VAERS 1427684

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CA
Alter
37,0
Geschlecht
F
Eingang
25.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness Dyspnoea Feeling cold Feeling hot Immediate post-injection reaction Pain in extremity

Symptomtext

patient called at 145, states she got covid vaccine at 1250. She describes having dizziness, lightheadedness, and "feeling of overheating" that is continuing. She stated she had a little dizziness at time of vaccine but it has worsened after leaving. She is not driving (father is driving). I asked if there was any trouble breathing and she stated "a little". I advised to lie down and elevate feet, and remain in cool place. The patient stated the dizziness was worsening still. I advised to either go to the Emergency department/urgent care or return to pharmacy for us to monitor her. She will do one of the above. I spoke to patient about 237 pm, she ended up going to ER for observation, and is currently there being monitored. spoke to patient today 6/25/21, patient was in ER for a while but has been discharged. Pt states she was feeling hot for a while then later felt cold (could be because hospitals are cold). Patient states ER gave her a breathing treatment and something to relax the nerves (not sure of medication). She still has some dizziness and arm soreness but it has improved significantly since yesterday.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Anxiety, depression, GERD
Andere Medikamente
Sertraline, esomeprazole, risperidone, buspirone, pseudoephedrine
Allergien
carbapenems, sulfa antibiotics, macrolides
Vorherige Impfungen
-

VAERS 1425193

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
AZ
Alter
32,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
09.06.2021
Beginn
10.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Confusional state Diplopia Dizziness Dyspnoea Fatigue Hypoaesthesia Loss of personal independence in daily activities Memory impairment Pain in extremity Somnolence

Symptomtext

Numbness in right hand, unable to grip anything. Pain in right arm. Chest pains, difficulty breathing, dizziness. Sudden extreme fatigue, falling asleep at work. Confusion, uncoordinated, memory issues. Double vision.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
None yet waiting on Dr
Aktuelle Erkrankungen
Epilepsy, GERD, Fibromyalgia, Graves disease, osteoarthritis, tendinitis, herniated disks in lumbar spine, chronic migraines, asthma, high blood pressure.
Vorgeschichte
Epilepsy, GERD, Fibromyalgia, Graves disease, osteoarthritis, tendinitis, herniated disks in lumbar spine, chronic migraines, asthma, high blood pressure.
Andere Medikamente
Keppra 500mg, baclofen 10mg, hydrocodone/apap 10/325mg, Topamax 100mg, ibuprofen 800mg, protonix 40mg, pro air PRN, amitriptyline 25mg, promethainze 12.5mg
Allergien
None
Vorherige Impfungen
Seizures after 1st vaccine

VAERS 1423606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
TX
Alter
64,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
14.06.2021
Beginn
22.06.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysphonia Feeding disorder Headache Mobility decreased Pain in extremity Peripheral swelling Vomiting

Symptomtext

Caller felt like she was bite by insect on left arm, arm was sore and there is a bump, had bad headache yesterday and could not even get up. Visited pharmacist said if this was the reaction with the first shot that the second will be much worse. and she would have been warned because she has MS. And her voice changed to be very raspy. Caller is unable to eat, if she3 eats she throws up

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
COBP, MS, hepatitis C but it is undetectable
Andere Medikamente
xanax, zinc once weekly, Nexium, aspirin, biotin, vitamin E, B 12, 1000 vitamin C, Breathing machine lebabuteral.
Allergien
opioids,
Vorherige Impfungen
-

VAERS 1419611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
IN
Alter
52,0
Geschlecht
F
Eingang
23.06.2021
Impfdatum
15.06.2021
Beginn
17.06.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain Diarrhoea Dizziness Headache Heart rate irregular Hypotension Pain Pyrexia

Symptomtext

102 fever-2 days Intense lower center abdominal pain-7 days Body ache-3 days Diarrhea-7 days Headache-5 days Low blood pressure-3 days Irregular hearbeat-7 days Light-headed-5 days "Covid arm" extending elbow to shoulder-back of arm to front of arm-3 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
Hbp, gerd
Andere Medikamente
Lisinopril, protonix, pepcid
Allergien
-
Vorherige Impfungen
-

VAERS 1417888

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
WA
Alter
53,0
Geschlecht
F
Eingang
22.06.2021
Impfdatum
22.06.2021
Beginn
22.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest discomfort Dizziness Hyperhidrosis Palpitations Pulmonary physical examination abnormal Tremor

Symptomtext

2 minutes post Moderna vaccine pt experienced acute onset of palpitations, shakiness, profuse sweating, dizziness/lightheadedness, no chest/throat/lung complaints. HR 137-150, SpO2 97% room air. in the middle of interview, pt reported sudden onset worsening palpitations, tightness in chest. abnormal lung exam. Epinephrine and Benadryl provided in urgent care, ALS transport called to ER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
No
Vorgeschichte
Hyperlipidemia associated with type 2 diabetes mellitus. Morbid obesity. Stage 3 CKD. Ductal carcinoma in situ of breast, Right. Essential hypertension. CVA.
Andere Medikamente
No
Allergien
Anaphylaxis to cashew nut oil, coconut oil, diagnostic XR materials/gadolinium, nuts, iodine, iron, lidocaine, morphine, shellfish. Hives to Penicillin.
Vorherige Impfungen
-

VAERS 1417000

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
OR
Alter
34,0
Geschlecht
M
Eingang
22.06.2021
Impfdatum
19.06.2021
Beginn
20.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Cold sweat Dyspnoea Hyperhidrosis Malaise Pyrexia Sleep disorder Vaccination site haemorrhage Vaccination site pain

Symptomtext

Patient reports bleeding heavily from vaccination site. He went to bed that night and awoke at 3am unable to breathe temporarily. He was clammy/sweaty and awake for 2 hours. On Sunday, 6/20 he ran a fever of 102 degree F, had an extremely sore vaccination arm, and felt a general malaise.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1416752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
OH
Alter
47,0
Geschlecht
F
Eingang
22.06.2021
Impfdatum
17.06.2021
Beginn
18.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Paraesthesia Pruritus Swelling

Symptomtext

Patient got the 2nd dose of Moderna Vaccine on June 17th, she started noticing stingling on her palms the next day and after 2 days, she started having swellings and itching on both hands, left hip, lower back and both thighs, by Sunday the 20th her face lips and tongue was swollen, she went to the Emergency Room, she was told to wait for the reactions to phase out, she then self medicate by taking Benadyl tablets and tylenol, this has greatly reduced the itching and swelling as at today June 22nd 2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
none
Andere Medikamente
None
Allergien
Sulfa drugs, Codeine and cephalosporins - breaks out in hives and swelling
Vorherige Impfungen
-

VAERS 1413143

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
MO
Alter
33,0
Geschlecht
M
Eingang
19.06.2021
Impfdatum
17.06.2021
Beginn
18.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Chills Hyperhidrosis Migraine Tremor Vomiting

Symptomtext

Migraine, vomiting 5-10 times, shakes, chills, profuse sweating for about 1 day

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
1,0
Labordaten
Which tests done are unknown to reporting pharmacist. Patient states he went to the emergency room due to his symptoms and was admitted and observed for 1 day before recovering and being discharged.
Aktuelle Erkrankungen
No acute illnesses known
Vorgeschichte
ADHD, Hypertension, Depression, Psychosis, Migraines
Andere Medikamente
Risperidone, Buspirone, Azelastine eye drops, Fluoxetine, Clonidine, Rizatriptan (as needed)
Allergien
None known
Vorherige Impfungen
-

VAERS 1402973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
IN
Alter
40,0
Geschlecht
F
Eingang
16.06.2021
Impfdatum
14.06.2021
Beginn
15.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Asthenia Chills Dizziness Headache Impaired work ability Mobility decreased Musculoskeletal stiffness Nausea Pain Pain in jaw Peripheral swelling Pyrexia Swelling Vomiting

Symptomtext

Started morning after my second dose swollen arm, swollen lump in my arm bit and left side of my neck, extremely painful where I could not lift my arm or move it, then my entire body felt very stiff and painful just like my arm, fever of 100-102 off and on and currently having fever on June 16th at 1:56pm, chills, bad nausea, vomited 6 times since June 15th, bad headache, stiff neck, random severe jolts of pain through my jaw and in my knees, very weak, getting random dizzy spells that hit out of nowhere. Called into work because my symptoms are too bad to work in retail business with no air conditioning.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Lamotrigine, Strattera, Doxepin, Propanolol, Suboxone, women?s multi vitamin
Allergien
Reglan, Zofran, Bactrim, Penicillin, Inapsine, Compazine,
Vorherige Impfungen
-

VAERS 1398669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
CA
Alter
74,0
Geschlecht
F
Eingang
15.06.2021
Impfdatum
14.06.2021
Beginn
14.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dry mouth Hypoaesthesia Paraesthesia

Symptomtext

Systemic: dry mouth-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: pt waited the required 15 minutes after receiving 2nd dose of vaccine. returned to pharmacy after 45 minutes later complaining of numbness and tingling in arm and face and dry mouth. pt did not complain of breathing difficulty or other signs of allergic reaction. told pt to go urgent care or emergency room and told her to follow up with us after.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1395952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

moderat
Staat
TX
Alter
56,0
Geschlecht
F
Eingang
14.06.2021
Impfdatum
14.06.2021
Beginn
14.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea

Symptomtext

Pt was very nervous and started crying right before vaccine. We stayed with pt and talked to her. She said she felt better and had to go to restroom husband took her and they came right back saying she felt shortness of breath. We called ems her O2 was 100% she said she just left hospital this morning she went in for anxiety.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknown
Vorgeschichte
asthma seizure disorder diabetes
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1395084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
FL
Alter
41,0
Geschlecht
F
Eingang
13.06.2021
Impfdatum
13.06.2021
Beginn
13.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Palpitations

Symptomtext

heart palpitations

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
fibromyalgia
Andere Medikamente
atorvastatin, iron buspirone, duloxetine, spironolactone, pregabalin, amlodipine
Allergien
oxycodone
Vorherige Impfungen
-

VAERS 1394960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
IL
Alter
20,0
Geschlecht
M
Eingang
13.06.2021
Impfdatum
13.06.2021
Beginn
13.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Dizziness Fear of injection Tremor

Symptomtext

Pt was having anxiety after vaccine and was having little shakiness/light head. He was fine in few minutes. He said he always had fear with needles and anxiety in past. Mother was there with him all the time. He was feeling fine in few minutes. Gave him some ice packs and his feet were elevated. I asked him if he/mother wants us to call paramedics, but they denied. He was able to talk - he said it's just his anxiety, he is feeling fine otherwise. Pt left the store after few minutes with mother.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No Information available
Vorgeschichte
-
Andere Medikamente
No Info available
Allergien
no
Vorherige Impfungen
he said he always had anxiety issues in the past with vaccines

VAERS 1394313

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CT
Alter
30,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Hypotension Pallor

Symptomtext

Pale, light headed, low blood pressure

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
N/A
Vorgeschichte
Asthma
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
Light headed, fainted

VAERS 1389258

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
40,0
Geschlecht
M
Eingang
10.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Mobility decreased Swelling

Symptomtext

PT REPORTED LEFT ARM UNABLE TO MOVE PAST HIS ELBOW AND STRETCHED ABOVE HIS HEAD. HE DID NOT GO TO ER BUT RATHER TOOK TYLENOL AND USED ICE FOR SWELLING.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1388211

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NM
Alter
19,0
Geschlecht
F
Eingang
10.06.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dysphagia Headache Hypoaesthesia Injection site swelling Muscular weakness Nausea Pain in extremity Paraesthesia Pruritus Tachypnoea Urticaria Vomiting

Symptomtext

Fast-paced heavy breathing, trouble swallowing, numbness tingling in arms and legs, sharp pain in left and right forearms, headache, nausea, vomiting, weakened legs left and right, itching in arms and legs both left and right, hives and bumps in right vaccinated arm, anad hives developed around lips and mouth area.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Two 10 ml doses of children's liquid Benadryl
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma
Andere Medikamente
Cetrizine, Nasal Spray, Abilify, and Albuterol
Allergien
Pineapple, onion, garlic
Vorherige Impfungen
-

VAERS 1385505

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
NM
Alter
19,0
Geschlecht
F
Eingang
09.06.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
5
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Pain in extremity Paraesthesia Pruritus

Symptomtext

Pt complained of feeling dizzy and bilateral arm tingling/pain 15 minutes after receiving vaccine. Pt was observed and periodically checked on for approximately 1 hour, she then stated that her arms and legs were itching. I gave her 50mg of liquid diphenhydramine, over a period of 2 hours she was observed and checked on, around 5 pm she stated the itching was gone and she felt fine. I gave her a bottle of diphenhydramine liquid and directions for use. I followed up with the patient the following day and she said she continued to feel fine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
Mood disorder, allergies to certain foods.
Vorgeschichte
Mood disorder, allergies, bronchitis
Andere Medikamente
Abilify, cetirizine, albuterol inhaler
Allergien
Garlic, Pineapple, Onion
Vorherige Impfungen
-

VAERS 1364586

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CT
Alter
34,0
Geschlecht
F
Eingang
01.06.2021
Impfdatum
31.05.2021
Beginn
31.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anxiety Dyskinesia Dyspnoea Lacrimation increased

Symptomtext

Pt. received 2nd Moderna shot at 3:23 pm on 5/31/21. At about 3:45 pm pt. brought to our attention that she was having difficulty breathing. She said it started as soon as she got the shot but she waited thinking it would be going away. She was anxious, upset, eyes teary, looked afraid, and was raising her shoulders as she breathed. 911 was called. Pt. agreed to receive epi-pen. Time given was 3:47 pm. Pt. reported that breathing felt a little easier. BP taken at 3:51 pm was 182/121 pulse 93. Ambulance personnel arrived at about 3:52 pm. Pt told emt that the difficulty breathing was not like when she needs to use her inhaler. Ambulance personnel assessed and left with pt.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
asthma, high blood pressure
Andere Medikamente
hydrochlorothiazide 25 mg q day clotrimazole-betamethasone 1%-0.05% cream bid albuterol hfa prn (hasn't used recently)
Allergien
none
Vorherige Impfungen
-

VAERS 1364286

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CT
Alter
35,0
Geschlecht
F
Eingang
01.06.2021
Impfdatum
31.05.2021
Beginn
31.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Condition aggravated Depressed level of consciousness Dizziness Feeling cold Hyperhidrosis Injection site erythema Injection site swelling Pruritus

Symptomtext

2nd Moderna shot given 5/31/21 at 12:49 pm. By 1:00 pharmacy tech saw that pt. had a large, red, swollen area surrounding inj site. Pt. complained of dizziness and extremely itchy upper arm. Pt reported no difficulty breathing. Had pt lower her head while staying seated. 1:00 pm bp 131/92 pulse 76. Pt then reported increasing dizziness. Had pt. lie on floor with lower legs up resting on chair. 1:05 pm bp 142/102 pulse73. Pt's alertness was decreased compared to before shot. Called 911 around this time. 1:10 pm bp 148/101 pulse 76. Still no difficulty breathing when asked. Then at 1:12 pm pt. complained of being cold throughout whole body. 1:14 pm pt. started to perspire. Pt. was brought a light blanket and covered. 1:15 pm pt. started to shiver. Ambulance personnel arrived, assessed pt. and transported her to e.d. shortly thereafter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE REPORTED
Vorgeschichte
NONE REPORTED
Andere Medikamente
UNKNOWN
Allergien
NONE REPORTED
Vorherige Impfungen
-

VAERS 1361322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
CA
Alter
39,0
Geschlecht
F
Eingang
29.05.2021
Impfdatum
29.05.2021
Beginn
29.05.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Hypertension

Symptomtext

patient reported feeling dizzy 15 minutes after the shot. blood pressure was measured. it was above 140/100. it is possible she has hypertension.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
blood pressure was high above 140/100
Aktuelle Erkrankungen
possible high blood pressure. patient blood pressure was above 140/100 when measured at the pharmacy three times.
Vorgeschichte
not known
Andere Medikamente
Patient reported feeling dizzy about 15 minutes getting the second dose of the vaccine.
Allergien
NKA
Vorherige Impfungen
-

VAERS 1359246

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

moderat
Staat
-
Alter
48,0
Geschlecht
F
Eingang
28.05.2021
Impfdatum
28.05.2021
Beginn
28.05.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anxiety Hypertension

Symptomtext

Patient describes feeling anxious , palpitations. Hypertensive episode

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2199184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MI
Alter
27,0
Geschlecht
M
Eingang
03.02.2023
Impfdatum
04.05.2021
Beginn
12.01.2022
Tage bis Beginn
253,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Diarrhoea Fatigue Nausea Vomiting

Symptomtext

01/12/22 presents to ED for "nausea, emesis, diarrhea, fatigue". PMHx of "type I DM, hypertension"

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2327062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
24,0
Geschlecht
M
Eingang
22.06.2022
Impfdatum
21.06.2021
Beginn
28.06.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test abnormal Body temperature increased Laboratory test normal Rash Urticaria

Symptomtext

About a week after the jab started noticing I had a lot of rashes, elevated body temperature. I assumed it was a dust mite allergy which I have had in the past but its hasn't affected me in 3 years. I though it could be a new allergen so I changed my diet. It existed whether I was at home or outside. I didn't take note of it so I took antihistamine, fexofenadine 180mg. After a few months the symptoms receded and I didn't notice it didn't correlate it to the vaccine at the time. On 12/21/2021 I got my 3rd dose overseas and that is when, about 5 days to a week after that, I got hives again that were more severe. I went to the doctor after trying to change the environment and habits but that didn't work. They initially suspected an auto immune disorder but test came back negative. After that I went for a full work up and the provider indicated that he saw a few patients that have had the same symptoms after the 3rd dose. He informed me to continue taking the fexofenadine. I was referred to a skin specialist but I had to come back to the area so I couldn't attend. The blood test indicated that there was some allergen trigger. I got a prescription for fexofenadine and XYZAL. I started taking the XYZAL because the other medication wasn't working as well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
Blood test
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
Amoxicillin; BACTRIM; dust mite
Vorherige Impfungen
-

VAERS 2145701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OH
Alter
56,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
05.06.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Hypersensitivity Induration Pain Skin discolouration Swelling Vaccination site erythema Vaccination site nodule Vaccination site reaction

Symptomtext

My upper arm started to get really red/ red/ it almost went down to my elbow; Hard; Swelling; It looked discolored; It still hurts periodically; there is a little nodule below the injection site now; Covid arm; Allergic reaction; Where I got the shot, it got red around and also red in the center; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (My upper arm started to get really red/ red/ it almost went down to my elbow), INDURATION (Hard), SWELLING (Swelling), SKIN DISCOLOURATION (It looked discolored) and PAIN (It still hurts periodically) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (My upper arm started to get really red/ red/ it almost went down to my elbow), INDURATION (Hard), SWELLING (Swelling), SKIN DISCOLOURATION (It looked discolored), PAIN (It still hurts periodically), VACCINATION SITE NODULE (there is a little nodule below the injection site now), VACCINATION SITE REACTION (Covid arm), HYPERSENSITIVITY (Allergic reaction) and VACCINATION SITE ERYTHEMA (Where I got the shot, it got red around and also red in the center). At the time of the report, ERYTHEMA (My upper arm started to get really red/ red/ it almost went down to my elbow), SWELLING (Swelling) and VACCINATION SITE ERYTHEMA (Where I got the shot, it got red around and also red in the center) had resolved, INDURATION (Hard), SKIN DISCOLOURATION (It looked discolored), VACCINATION SITE NODULE (there is a little nodule below the injection site now), VACCINATION SITE REACTION (Covid arm) and HYPERSENSITIVITY (Allergic reaction) outcome was unknown and PAIN (It still hurts periodically) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided by the reporter. No treatment information was provided by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2144719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
IN
Alter
53,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
28.07.2021
Beginn
28.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ear haemorrhage Otorrhoea Pain in extremity

Symptomtext

Felt her left ear draining; Bleeding in the left ear, "a little clotting" in the left ear; Pain in the left arm; This spontaneous case was reported by a consumer and describes the occurrence of OTORRHOEA (Felt her left ear draining), EAR HAEMORRHAGE (Bleeding in the left ear, "a little clotting" in the left ear) and PAIN IN EXTREMITY (Pain in the left arm) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy. Concomitant products included IBUPROFEN for Headache. On 28-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jul-2021, the patient experienced PAIN IN EXTREMITY (Pain in the left arm). On 30-Jul-2021, the patient experienced OTORRHOEA (Felt her left ear draining) and EAR HAEMORRHAGE (Bleeding in the left ear, "a little clotting" in the left ear). At the time of the report, OTORRHOEA (Felt her left ear draining), EAR HAEMORRHAGE (Bleeding in the left ear, "a little clotting" in the left ear) and PAIN IN EXTREMITY (Pain in the left arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details was not reported by the reporter. patient takes ibuprofen occasionally to treat occasional headache. he caller stated that she is scared to receive the second dose in the series. The caller stated she is concerned scheduled an appointment for evaluation. The appointment is scheduled for 02Aug2021 with her HCP.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Penicillin allergy
Vorgeschichte
-
Andere Medikamente
IBUPROFEN
Allergien
-
Vorherige Impfungen
-

VAERS 2143161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MO
Alter
69,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
09.07.2021
Beginn
12.07.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Headache

Symptomtext

headache; sick to stomach; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) and ABDOMINAL DISCOMFORT (sick to stomach) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Jul-2021, the patient experienced HEADACHE (headache) and ABDOMINAL DISCOMFORT (sick to stomach). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, HEADACHE (headache) and ABDOMINAL DISCOMFORT (sick to stomach) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Caller didn't wished to get second dose. Concomitant product use was not provided by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2142886

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
43,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
29.06.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Burning sensation Hypersomnia Pruritus Urticaria

Symptomtext

She slept for 24 hours; Hives that started on the stomach, and then went to the top of her hand/ hives are on and off on different parts of the body, they appear and then go away/ They are big, itchy, burning hives; They are big, itchy, burning hives; They are big, itchy, burning hives; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (She slept for 24 hours), URTICARIA (Hives that started on the stomach, and then went to the top of her hand/ hives are on and off on different parts of the body, they appear and then go away/ They are big, itchy, burning hives), PRURITUS (They are big, itchy, burning hives) and BURNING SENSATION (They are big, itchy, burning hives) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009D21A and 054C21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HYPERSOMNIA (She slept for 24 hours), URTICARIA (Hives that started on the stomach, and then went to the top of her hand/ hives are on and off on different parts of the body, they appear and then go away/ They are big, itchy, burning hives), PRURITUS (They are big, itchy, burning hives) and BURNING SENSATION (They are big, itchy, burning hives). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Hives, at an unspecified dose and frequency and CALAMINE (topical) for Hives, at an unspecified dose and frequency. At the time of the report, HYPERSOMNIA (She slept for 24 hours), URTICARIA (Hives that started on the stomach, and then went to the top of her hand/ hives are on and off on different parts of the body, they appear and then go away/ They are big, itchy, burning hives), PRURITUS (They are big, itchy, burning hives) and BURNING SENSATION (They are big, itchy, burning hives) outcome was unknown. No concomitant drug details were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2006542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CO
Alter
44,0
Geschlecht
M
Eingang
05.01.2022
Impfdatum
28.06.2021
Beginn
24.11.2021
Tage bis Beginn
149,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Ear pain Exposure to SARS-CoV-2 Pain Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

11/24 Started out as sinus congestion and pain /w pain in my ear. Went to urgent care and was given a CoVid test (negative) and a physical exam. Was given amoxicillin antibiotic 10 day course for my issue. Also doctor suggested Mucinex-D and Ibuprofen for the course. Recovered well but recently went swimming and somehow caught Covid on a past weekend trip 12/26. Had another nasal issue but found that one of my family was tested positive. Took a new test on 01/02 and currently under quarantine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Ear pain
Hospital-Tage
-
Labordaten
CoVid test 11/24 (Negative); 01/02 (Positive)
Aktuelle Erkrankungen
None
Vorgeschichte
Seasonal Allergies; Environmental Allergies; HCL; Anxiety; Depression; trigger finger; Osteoarthritis
Andere Medikamente
ALLEGRA; SUDAFED; pravastatin; CELEXA; ibuprofen; fish oil; turmeric; glucosamine; MEN'S ONE-A-DAY
Allergien
SLO-BID; lactose intolerant; medical adhesive
Vorherige Impfungen
-

VAERS 2001462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NY
Alter
76,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
10.08.2021
Beginn
01.10.2021
Tage bis Beginn
52,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia Balance disorder Dry skin Headache Neck pain Sensory disturbance Skin exfoliation

Symptomtext

Very dry scaly skin from vaccination site to other side, spreading over left breast. Plus, pain in both sides of neck and front of forehead. Funny feeling running down back to bottom of toes. Loss of balance and weakness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
1,0
Labordaten
Went to hospital Dec 19th for these symptoms.
Aktuelle Erkrankungen
Diabetes HBP
Vorgeschichte
Diabetes HBP
Andere Medikamente
Insulin - Eloquis Brilanta (HBP)
Allergien
No
Vorherige Impfungen
-

VAERS 1955629

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
54,0
Geschlecht
F
Eingang
16.12.2021
Impfdatum
21.08.2021
Beginn
25.08.2021
Tage bis Beginn
4,0
Dosis
UNK
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Antinuclear antibody positive Arthralgia Blood cholesterol increased Hypothyroidism Joint swelling Pain in extremity Peripheral swelling Skin warm

Symptomtext

Swelling in both hands, Right Knee, Both Ankles, Top of both Feet, pain in calve muscles, Joint pain in Knees, ankles, feet, Shoulders and hands. Development of left knee grinding when going to sit. Swelling sights are hot. Tested positive for ANA but unknown which one. High Cholesterol level, and Hypoththroidism to date.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Bipolar ADHD Anxiety Depression Mania
Vorgeschichte
Bipolar ADHD Anxiety Depression Mania
Andere Medikamente
Lamictal, Klonopin, vyvanse, Rexulti, Baclofen
Allergien
Penicillin (rash) Wasp Venom (sting)
Vorherige Impfungen
-

VAERS 1951902

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
IL
Alter
66,0
Geschlecht
F
Eingang
15.12.2021
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Nausea Pain in extremity Pyrexia Vaccination site rash

Symptomtext

headache chills sore arm nausea fever rash on left arm at site of vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
high blood pressure hypothyroidism hyperlipidemia
Andere Medikamente
allegra D aspirin 81mg nasacort preservision areds losartan potassium 25mg singular 10mg pravastatin 40mg levothyroxine 112 mcg oscal 500 +D metamucil nutritional shake
Allergien
none
Vorherige Impfungen
-

VAERS 1941744

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
50,0
Geschlecht
M
Eingang
11.12.2021
Impfdatum
24.06.2021
Beginn
24.07.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Bed rest Fatigue

Symptomtext

Patient laid in bed all day after second dose; more fatigue after his second dose; This spontaneous case was reported by a consumer and describes the occurrence of BED REST (Patient laid in bed all day after second dose) and FATIGUE (more fatigue after his second dose) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004D21A and 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Jul-2021, the patient experienced BED REST (Patient laid in bed all day after second dose) and FATIGUE (more fatigue after his second dose). On 25-Jul-2021, BED REST (Patient laid in bed all day after second dose) and FATIGUE (more fatigue after his second dose) had resolved. No concomitant medications were reported. Treatment information was not provided. This case was linked to MOD-2021-406415 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1938998

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
50,0
Geschlecht
M
Eingang
10.12.2021
Impfdatum
24.06.2021
Beginn
01.06.2021
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue

Symptomtext

Fatigue after the first dose; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (Fatigue after the first dose) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In June 2021, the patient experienced FATIGUE (Fatigue after the first dose). At the time of the report, FATIGUE (Fatigue after the first dose) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. No concomitant medication were provided. No treatment information were provided. This case was linked to MOD-2021-406418 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1794291

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
CA
Alter
35,0
Geschlecht
F
Eingang
17.10.2021
Impfdatum
27.06.2021
Beginn
28.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Myalgia X-ray normal

Symptomtext

pt states arm muscle soreness ongoing since the immunization. Sought evaluation by physician and imaging but no abnormality was found.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myalgia
Hospital-Tage
-
Labordaten
xray per pt, unknown date
Aktuelle Erkrankungen
unk
Vorgeschichte
unk
Andere Medikamente
unk
Allergien
phenazopyridine
Vorherige Impfungen
-

VAERS 1759455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
64,0
Geschlecht
F
Eingang
04.10.2021
Impfdatum
01.10.2021
Beginn
01.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Rash

Symptomtext

approximately 2 hours after the shot, I had a large rash that covered my entire right thigh. It did not itch, burn or swell, but the thigh was almost completely covered

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
high blood pressure, high cholesterol
Andere Medikamente
Losartan, Vitamin D
Allergien
none
Vorherige Impfungen
-

VAERS 1755980

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
34,0
Geschlecht
F
Eingang
02.10.2021
Impfdatum
05.08.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Vaccination site mass Vaccination site rash

Symptomtext

Lump; Covid arm reaction; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (Lump) and VACCINATION SITE RASH (Covid arm reaction) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The patient's past medical history included unidentified flu (it was all symptoms (no taste, fever) of covid but at the time it was unidentified) in January 2020. Concomitant products included ETHINYLESTRADIOL, NORGESTIMATE (TRI-SPRINTEC) for Birth control, THYROID (ARMOUR THYROID) for Thyroid disorder, HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM (LOSARTAN/HCTZ), FUROSEMIDE (LASIX [FUROSEMIDE]), POTASSIUM CHLORIDE and DOXAZOSIN MESILATE (CARDURA) for an unknown indication. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE MASS (Lump) and VACCINATION SITE RASH (Covid arm reaction). At the time of the report, VACCINATION SITE MASS (Lump) and VACCINATION SITE RASH (Covid arm reaction) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatments medications was reported. This case was linked to MOD-2021-331634.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vaccination site rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: FLU, Start Date: 202001, Continue: [UNK], Comment: it was all symptoms (no taste, fever) of covid but at the time it was unidentified
Andere Medikamente
ARMOUR THYROID; LOSARTAN/HCTZ; LASIX [FUROSEMIDE]; POTASSIUM CHLORIDE; CARDURA; TRI-SPRINTEC
Allergien
-
Vorherige Impfungen
-

VAERS 1754003

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
47,0
Geschlecht
F
Eingang
01.10.2021
Impfdatum
21.09.2021
Beginn
21.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Impaired work ability Pyrexia Urticaria

Symptomtext

got a head ache with in 5 minutes of the vaccine that required Medical attention that cause me to miss two days of work from Vaccine 1 Vaccine two: Tuesday had hives from head to toe all over body ran fever for two days , missed a day of work went to the doctor gave me a double steriod shot on Friday and told me I had hive internally and externally then on Monday went back to the doctor gave me two weeks of steriods and a topical cream and confirmed that I had an allergic reaction to the shot. Still is currently under doctors care.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
I am currently still under doctors care.
Aktuelle Erkrankungen
8/24/2021 1st covid vaccine headache that required medical attention and cost me two day off work
Vorgeschichte
asthma
Andere Medikamente
no medications
Allergien
aspirin Sulphur drugs milk strawberry latex
Vorherige Impfungen
-

VAERS 1730338

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NY
Alter
58,0
Geschlecht
F
Eingang
24.09.2021
Impfdatum
11.07.2021
Beginn
14.09.2021
Tage bis Beginn
65,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chills Feeling abnormal Headache Inappropriate schedule of product administration Pyrexia Swelling

Symptomtext

2nd dose given more than 35 days after 1st dose; back of my head is swollen; 3 hours after vaccination, she felt like the liquid was going up to her head; feel weak/weakness; I have temp (fever); Chills; headache; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING (back of my head is swollen), FEELING ABNORMAL (3 hours after vaccination, she felt like the liquid was going up to her head), ASTHENIA (feel weak/weakness), PYREXIA (I have temp (fever)) and CHILLS (Chills) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009D21A and 037F81A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. Concomitant products included LOSARTAN POTASSIUM for an unknown indication. On 11-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Sep-2021, the patient experienced SWELLING (back of my head is swollen), FEELING ABNORMAL (3 hours after vaccination, she felt like the liquid was going up to her head), ASTHENIA (feel weak/weakness), PYREXIA (I have temp (fever)), CHILLS (Chills), HEADACHE (headache) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose given more than 35 days after 1st dose). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 14-Sep-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose given more than 35 days after 1st dose) had resolved. At the time of the report, SWELLING (back of my head is swollen), FEELING ABNORMAL (3 hours after vaccination, she felt like the liquid was going up to her head), ASTHENIA (feel weak/weakness), PYREXIA (I have temp (fever)), CHILLS (Chills) and HEADACHE (headache) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported
Andere Medikamente
LOSARTAN POTASSIUM
Allergien
-
Vorherige Impfungen
-

VAERS 1705882

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
KY
Alter
30,0
Geschlecht
M
Eingang
16.09.2021
Impfdatum
22.08.2021
Beginn
22.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Dizziness Nausea

Symptomtext

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1685483

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MO
Alter
37,0
Geschlecht
F
Eingang
09.09.2021
Impfdatum
06.08.2021
Beginn
09.08.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Ear pain Fatigue Headache Lymphadenopathy Neck pain Pain in extremity

Symptomtext

on 8/6 received shot, had arm pain that evening and felt tired. The next day, arm pain was worse and top of arm felt hot and sore to the touch. Continued on Sunday. On 8/9, flu like symptoms and felt really bad. My wrist was starting to feel achy. on 8/11, the flu like symptoms had gone away but had extreme wrist pain, so much so that I couldn't bear weight on it. on 8/15, I was in a yoga class and couldn't bear any weight on it. I wore a brace for the next few days. The week of 8/19 I started to notice the pain had moved from my wrist up into my forearm. I started experiecing bad headaches that would start at base of my head on the left side. I started to experiencing neck and shoulder pain on the left side of my body. Later into the week, my left side lymph nodes were swollen, i had pain in my ear. I noticed that lying down my left side of my face felt looser, specifically at my mouth, where it felt almost like I was slighty drooling. I have never ever experience any things such as these, and it was all left side dominant. On 8/26, i couldn't stand the wrist pain anymore, so I visited my chiropractor to see if by change i had a broken wrist or something else causing all these problems. I told them about the shot and they said some people feel pain, but not normally 3 weeks later though some RA or autoimmune patients have experience longer term joint pain. I have never been diagnosed with either of those, and again it was only happening on the left side. THe pain continues into the weekend and following week. on 8/30, I woke up with pain in my shoulder and rotator cuff, to the point where it hurt to lift my arm. I went to my massage therapist to see if she could work out the body pain. I had my last massage with her in July. At this appointment, she told me my left side felt completely different: my muscles felt ropey, hard, and only on the left side. This was present in my left arm, neck, left pectoral muscles, face, and top of skull. The left side of my skull felt as if it were swollen. on 8/31, I woke up with a swollen elbow and a not the size of walnut in my inner left elbow . On 9/2, I went to see my gynecologist for a medical procedure (iud replacement) and the nurse couldn't take my blood pressure on the left side due to the pain. She asked if I had a bad blood draw or had injured my arm when she saw the swelling. I told her what happened and she told me I should file a report here because that actually happened to her and she was allergic to the shot. Though i had not told many, no one had my symptoms until I met her. I was supposed to take the second shot but declined due to the fact I was still dealing with issues surrounding the first one and I don't want to do anything that steals any more of my mobility. I still have the swollen elbow, shoulder pain, and lymph nodes as of 9/9, I finally am seeing improvement in my wrist, being able to bear weight on it once again, but still not back to its normal pre-shot mobility. I started to notice 9/6 - 9/9 that I have had some weird sensations in legs...left knee locking up, sharp pain down the arch of my foot across the pad of my foot, randomnly and sharp pains. Again....all left dominant. I don't know what is wrong: if I am having an allergic reaction or if my shot was messed up. I will not take the shot again or in my second arm, to risk my safety and wellbeing, until/if I have answers as to what is happening to me and what I shoudl expect.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
diflucan
Vorherige Impfungen
-

VAERS 1669873

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
63,0
Geschlecht
M
Eingang
03.09.2021
Impfdatum
02.09.2021
Beginn
02.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Fatigue Injection site pain Neck pain Pain in extremity

Symptomtext

Very tired and extremely sore arm, shoulder and neck starting at injection site. This was dose #3 due to immunocompromised health.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Rheumatoid Arthritis
Andere Medikamente
Losartan, Xiidra, Xyzol, Xeljanz (stopped per Dr. day of vaccination), Atorvastatis, Famotadine
Allergien
Plaquenil, Niacin, Beta Blockers
Vorherige Impfungen
sore arm, shoulder moving to neck from injection site, very tired

VAERS 1666243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
WA
Alter
44,0
Geschlecht
F
Eingang
02.09.2021
Impfdatum
18.08.2021
Beginn
31.08.2021
Tage bis Beginn
13,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Diarrhoea Injection site erythema Injection site pain Injection site pruritus Injection site rash Injection site swelling Injection site warmth

Symptomtext

diarrhea x 15 days (started the evening of injection and continues now) Red raised rash at injection site that appeared 13 days after injection. Slightly warm, tender to the touch and somewhat itchy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
depression, allergies, asthma, nerve pain, pvc, pac. ibs-c
Andere Medikamente
gabapentin, vit b12, vit D, docusate, magnesium, estridoil, meloxicam, hydrochlorithazide, zyrtec
Allergien
ASA, theophyllin, breathine, percocet, morphine, tylenol 3, linzess and albuterol
Vorherige Impfungen
as a child I had to have my vaccines in half doses and given one at a time due to unknown reactions

VAERS 1665506

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CO
Alter
58,0
Geschlecht
F
Eingang
02.09.2021
Impfdatum
05.08.2021
Beginn
09.08.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Back pain Dizziness Fatigue Joint swelling Nausea

Symptomtext

pain in her back; dizziness; her left ankle which is twice the size of her right ankle; nausea; fatigue; lots of joint pain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (pain in her back), DIZZINESS (dizziness), JOINT SWELLING (her left ankle which is twice the size of her right ankle), NAUSEA (nausea) and FATIGUE (fatigue) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Aug-2021, the patient experienced BACK PAIN (pain in her back), DIZZINESS (dizziness), JOINT SWELLING (her left ankle which is twice the size of her right ankle), NAUSEA (nausea), FATIGUE (fatigue) and ARTHRALGIA (lots of joint pain). At the time of the report, BACK PAIN (pain in her back), DIZZINESS (dizziness), NAUSEA (nausea), FATIGUE (fatigue) and ARTHRALGIA (lots of joint pain) had resolved and JOINT SWELLING (her left ankle which is twice the size of her right ankle) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant Medication was provided. No treatment was provided. Reporter does have some aches and she is not able to do the exact things she could when she was younger but that was normal for her age.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1645009

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
59,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
07.07.2021
Beginn
11.08.2021
Tage bis Beginn
35,0
Dosis
1
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Fatigue Hyperhidrosis Pruritus Vaccination site erythema Vaccination site pain

Symptomtext

fatigue; Redness left arm; Sore left arm; joint pain left hip; itchy in the back; sweats; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchy in the back), HYPERHIDROSIS (sweats), the first episode of FATIGUE (fatigue), the second episode of FATIGUE (fatigue) and VACCINATION SITE ERYTHEMA (Redness left arm) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A and 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 07-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Aug-2021, the patient experienced PRURITUS (itchy in the back), HYPERHIDROSIS (sweats) and the first episode of FATIGUE (fatigue). On 12-Aug-2021, the patient experienced the second episode of FATIGUE (fatigue), VACCINATION SITE ERYTHEMA (Redness left arm) and VACCINATION SITE PAIN (Sore left arm). 12-Aug-2021, the patient experienced ARTHRALGIA (joint pain left hip). At the time of the report, PRURITUS (itchy in the back), HYPERHIDROSIS (sweats), the last episode of FATIGUE (fatigue), VACCINATION SITE ERYTHEMA (Redness left arm), VACCINATION SITE PAIN (Sore left arm) and ARTHRALGIA (joint pain left hip) outcome was unknown. No Concomitant medication was reported. No treatment was reported. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. The company physician considers the reported events as non-serious, because there is no apparent rationale to deal them as serious. Reporter did not allow further contact; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. The company physician considers the reported events as non-serious, because there is no apparent rationale to deal them as serious.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1643926

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CA
Alter
59,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
25.06.2021
Beginn
29.06.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash pruritic

Symptomtext

itchy rash on both arms; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (itchy rash on both arms) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. Concurrent medical conditions included Diabetes, Blood pressure high, High cholesterol and Asthma. On 25-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Jun-2021, the patient experienced RASH PRURITIC (itchy rash on both arms). At the time of the report, RASH PRURITIC (itchy rash on both arms) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The concomitants include medications for diabetes, high blood pressure, high cholesterol and asthma. No treatment was reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash pruritic
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Asthma; Blood pressure high; Diabetes; High cholesterol
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1641516

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
60,0
Geschlecht
M
Eingang
27.08.2021
Impfdatum
16.07.2021
Beginn
17.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Blood creatine phosphokinase Fibromyalgia Joint range of motion decreased Joint stiffness Musculoskeletal stiffness Myalgia Pain in jaw

Symptomtext

Fibromyalgia, TMJ pain and limited range of jaw, upper body muscle, joint and tendon stiffness, soreness, pain

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
ck levels from bloodwork pending results
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1640455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OH
Alter
49,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
19.06.2021
Beginn
19.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Balance disorder Decreased appetite Diarrhoea Fatigue Malaise Pyrexia Somnolence Tinnitus

Symptomtext

Feels off balance; Riningin in ears/Ringing in ears sounds muffled/Ringing in ears is painful; Not feeling well; Loss of appetite; Slept majority of the day; Diarrhea; Felt tired; Fever; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (Slept majority of the day), DIARRHOEA (Diarrhea), MALAISE (Not feeling well), DECREASED APPETITE (Loss of appetite) and TINNITUS (Riningin in ears/Ringing in ears sounds muffled/Ringing in ears is painful) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included DULAGLUTIDE (TRULICITY), COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]), VALSARTAN (VALSARTAN AL), CARVEDILOL (CARVEDILOL BP), TORSEMIDE and POTASSIUM for an unknown indication. On 19-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jun-2021, the patient experienced SOMNOLENCE (Slept majority of the day), DIARRHOEA (Diarrhea), DECREASED APPETITE (Loss of appetite), FATIGUE (Felt tired) and PYREXIA (Fever). On 20-Jun-2021, the patient experienced MALAISE (Not feeling well) and TINNITUS (Riningin in ears/Ringing in ears sounds muffled/Ringing in ears is painful). On an unknown date, the patient experienced BALANCE DISORDER (Feels off balance). On 22-Jun-2021, PYREXIA (Fever) had resolved. At the time of the report, SOMNOLENCE (Slept majority of the day), DIARRHOEA (Diarrhea), MALAISE (Not feeling well), DECREASED APPETITE (Loss of appetite), TINNITUS (Riningin in ears/Ringing in ears sounds muffled/Ringing in ears is painful), BALANCE DISORDER (Feels off balance) and FATIGUE (Felt tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Warm Transfer From Moderna Customer Care, Case # 00176354, on 22Jun2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
TRULICITY; VITAMIN D [COLECALCIFEROL]; VALSARTAN AL; CARVEDILOL BP; TORSEMIDE; POTASSIUM
Allergien
-
Vorherige Impfungen
-

VAERS 1635798

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VT
Alter
67,0
Geschlecht
M
Eingang
26.08.2021
Impfdatum
03.06.2021
Beginn
03.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain

Symptomtext

Back pain worse on moving; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Back pain worse on moving) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. Concurrent medical conditions included Back pain since May 2021. On 03-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Jun-2021, the patient experienced PAIN (Back pain worse on moving). The patient was treated with PREDNISONE for Back pain, at a dose of 1 dosage form; CYCLOBENZAPRINE for Back pain, at a dose of 1 dosage form; PARACETAMOL (TYLENOL) ongoing since an unknown date for Back pain, at a dose of 1 dosage form and LIDOCAINE ongoing since an unknown date for Back pain, at a dose of 1 dosage form. At the time of the report, PAIN (Back pain worse on moving) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product information was not provided. It was reported that patient has another appointment on 15-Jun-2021 with his doctor and is scheduled for an x-ray.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Back pain
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1626922

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
ME
Alter
44,0
Geschlecht
M
Eingang
24.08.2021
Impfdatum
03.06.2021
Beginn
03.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Back pain Eye swelling Fatigue Headache Muscle twitching Myalgia Ocular hyperaemia Swelling face Vomiting

Symptomtext

Eyes swollen; he vomited; great headaches at night; right side of his face seems to "explode"; Red eye; Right eye "jumps"; backache; body pain; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of OCULAR HYPERAEMIA (Red eye), MUSCLE TWITCHING (Right eye "jumps"), EYE SWELLING (Eyes swollen), BACK PAIN (backache) and SWELLING FACE (right side of his face seems to "explode") in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 03-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Jun-2021, the patient experienced BACK PAIN (backache), MYALGIA (body pain) and FATIGUE (fatigue). On 04-Jun-2021, the patient experienced OCULAR HYPERAEMIA (Red eye) and MUSCLE TWITCHING (Right eye "jumps"). 04-Jun-2021, the patient experienced SWELLING FACE (right side of his face seems to "explode") and HEADACHE (great headaches at night). On 08-Jun-2021, the patient experienced VOMITING (he vomited). On 09-Jun-2021, the patient experienced EYE SWELLING (Eyes swollen). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] at a dose of 1 UNK. At the time of the report, OCULAR HYPERAEMIA (Red eye), MUSCLE TWITCHING (Right eye "jumps"), EYE SWELLING (Eyes swollen), BACK PAIN (backache), SWELLING FACE (right side of his face seems to "explode"), MYALGIA (body pain), FATIGUE (fatigue), HEADACHE (great headaches at night) and VOMITING (he vomited) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Back pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1618513

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NM
Alter
56,0
Geschlecht
F
Eingang
22.08.2021
Impfdatum
25.07.2021
Beginn
29.07.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Rash Rash erythematous

Symptomtext

Strawberry rash under breast, no symptoms, localized, not diffuse. Almost gone after 24 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Levothyroxine, HCTZ, Baby Aspirin, Vitamin C, Vitamin D, Zinc
Allergien
none
Vorherige Impfungen
unknown childhood vaccination caused fever, age and date unknown

VAERS 1588566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MI
Alter
33,0
Geschlecht
F
Eingang
19.08.2021
Impfdatum
11.08.2021
Beginn
11.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Oedema peripheral Pain in extremity Tenderness Vaccination site reaction

Symptomtext

?Vaccine Arm? my armpit felt slight swollen on the 17th of August and on the 18th and 19th it proceed to my right right. My right arm feels very tender and is painful to move.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
None as of yet, after reading this has been reported for Moderna already and normally resolves itself within a week.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
erythromycin
Vorherige Impfungen
-

VAERS 1582509

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MI
Alter
71,0
Geschlecht
F
Eingang
18.08.2021
Impfdatum
16.08.2021
Beginn
17.08.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Headache

Symptomtext

Patient hada headache the next day, but that symptom resolved and feels completely back to norma. We gave her the booster dose for the moderna but patient was not immunocompromised. It was in error. Her second dose of the moderna was back in March. Patient is aware, doctor is aware.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1582499

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MI
Alter
72,0
Geschlecht
M
Eingang
18.08.2021
Impfdatum
16.08.2021
Beginn
17.08.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Fatigue Pain

Symptomtext

Patient had some mild fatigue/body aches the next day, but symptoms are now completely gone back to normal. We gave him the booster dose for the moderna but patient was not immunocompromised. It was in error. His second dose of the moderna was back in March. Patient is aware, doctor is aware.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1558455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CO
Alter
55,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
05.06.2021
Beginn
01.07.2021
Tage bis Beginn
26,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site irritation Pain Pain in extremity

Symptomtext

Patient received her second dose of Moderna on her left arm on June 5th 2021. The local injection site irritation was normal to her. Three to four weeks later, she experienced a sharp pain during a lifting. The pain was at the middle part of her upper left arm, not her shoulder, not the injection site. Her doctor told her to watch the symptom at that time. Last week (more than 2 months after her second Moderna shot), the sharp pain came back again during a lifting. Patient mentioned this to our pharmacist since it was the same arm that she had her second Moderna Covid19 vaccine. We told her to try cold compress around that painful site and follow up with physician. She dose have an appointment with her doctor at the end of August.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site irritation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1554974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
-
Alter
52,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
07.08.2021
Beginn
08.08.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Hot flush Nausea Pyrexia

Symptomtext

pt reports nausea that occurred for 3 days post 2nd dose. pt also reports fever, chills and hot flashes that have still not gone away 7 days post 2nd dose. told pt this is not normal and that she got go to MD, ER, URGENT CARE ASAP. pt said that she might have possible UTI as she also had blood in her urine prior to 2nd dose that was being treated with abx. TOLD PT NOT NORMAL AND TO SEE MD ASAP.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1553841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
AR
Alter
53,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
28.07.2021
Beginn
08.08.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site erythema Injection site swelling Lymphadenopathy Pain in extremity

Symptomtext

Patient just had a sore arm initially. 2 weeks after injection she had redness and swelling that occured at the injection site (crescent moon shape) a lot of swelling in her lymph nodes in neck on the side of vaccination. Redness and swelling at injection site has gone down after a few days, lymph nodes are still swollen but are starting to decrease.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
unknown- patient had a check up at cancer treatment center and they said it could be delayed reaction from shot and because of history of cancer and manipulation of lymph nodes.
Aktuelle Erkrankungen
treated at cancer treatment center
Vorgeschichte
cancer
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 1544655

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
TX
Alter
37,0
Geschlecht
F
Eingang
11.08.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Rash Scar Scratch Skin exfoliation Skin reaction

Symptomtext

Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: Pt came in for second COVID shot (with partner/friend) and asked if she should get her second dose at all due to her reaction: she described it as full-body itching and displayed the scars/marks on her neck from excessive scratching and the rash that was there. I advised her to hold off for now. Still itchy as of 28 days later, even with daily Allegra dosing. Also described a skin reaction that sounded a lot like peeling sunburn.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1535559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
-
Alter
35,0
Geschlecht
F
Eingang
08.08.2021
Impfdatum
07.08.2021
Beginn
08.08.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Pain Pyrexia

Symptomtext

Pt received shot at about 3:24 pm, pt had fever at around 12 am that continued until morning. pt treating with tylenol q6h, but fever reoccurs. Pt also had bad chills and body aches post first dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1535476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21a

mild
Staat
TX
Alter
61,0
Geschlecht
M
Eingang
08.08.2021
Impfdatum
01.08.2021
Beginn
02.08.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
UN / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Muscular weakness Pain Pain in extremity

Symptomtext

arm extremely sore day after shot. could not hardly move my arm for 5 days. on the 6th day pain subsided some but extremely painful to move it certain ways. muscle also weak.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
none yet
Aktuelle Erkrankungen
none
Vorgeschichte
allergies.
Andere Medikamente
atenolol 50 mg , atorvastatin 20 mg, losartan 100 mg, omeprazole 20
Allergien
none
Vorherige Impfungen
-

VAERS 1534836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AR
Alter
45,0
Geschlecht
F
Eingang
07.08.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Hot flush Hyperhidrosis Nausea

Symptomtext

Approximately 5 minutes after receiving vaccine, patient reported dizziness, sweating and nausea. Since then, patient reported hot flashes and nightly dizziness; sometimes multiple times per night.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1529859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MA
Alter
45,0
Geschlecht
F
Eingang
05.08.2021
Impfdatum
19.07.2021
Beginn
22.07.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Impaired work ability Loss of personal independence in daily activities Musculoskeletal stiffness Neck pain

Symptomtext

From 72 hr post 1st dose, experienced severe joint pain in elbows and knees and moderate pain/stiffness in neck. Condition has remained steady for 3 weeks since the first dose. Impacting daily routine and work ability. Was informed that any side effects generally fade after 72 hrs but these symptoms have remained persistent. Taking extra strength Tylenol 500mg 2X daily.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Have not sought follow up medical attention yet but due to ongoing symptoms a physician will be consulted prior to taking the 2nd dose.
Aktuelle Erkrankungen
None
Vorgeschichte
High blood pressure
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1529720

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AR
Alter
-
Geschlecht
U
Eingang
05.08.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test normal Diarrhoea Headache Hyperhidrosis Hypoaesthesia Nausea Oropharyngeal pain

Symptomtext

DOSE 1: LEFT HAND NUMBNESS (NEVER RESOLVED); DIARRHEA, NAUSEA, BODY SWEATS, HEADACHES, SORE THROAT LASTED 2 WEEKS DOSE 2: LEFT ARM NUMBNESS FROM ELBOW DOWN TO HAND (NEVER RESOLVED); DIARRHEA, NAUSEA, BODY SWEATS, HEADACHES, SORE THROAT LASTED 2 WEEKS

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
BLOOD TEST : WITHIN NORMAL LIMITS NEUROLOGIST WILL SCHEDULE A CT SCAN IN THE COMING WEEKS WHEN AVAILABLE
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1520475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MI
Alter
37,0
Geschlecht
F
Eingang
02.08.2021
Impfdatum
02.08.2021
Beginn
02.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Headache

Symptomtext

Patient had wanted to receive the Tdap vaccine. We accidentaly gave her the moderna vaccine. She had already received both doses of the pfizer vaccine back in april. We followed up with her doctor, they said just to monitor her for side effects. I followed up with her later today, she said she was only experiencing a headache. I will continue to follow up with her over the next couple days and also next week to see if she is experiencing anything else.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1516373

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
CO
Alter
57,0
Geschlecht
F
Eingang
30.07.2021
Impfdatum
26.07.2021
Beginn
26.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Erythema Pain in extremity Peripheral swelling

Symptomtext

Swollen arm with redness for few days in addition to pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Diabetes
Vorgeschichte
Diabetes
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1515373

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NC
Alter
56,0
Geschlecht
F
Eingang
30.07.2021
Impfdatum
23.06.2021
Beginn
24.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Blood pressure fluctuation Fall Gait disturbance Grip strength decreased Loss of personal independence in daily activities Movement disorder Nausea

Symptomtext

next morning were not able to get out of bed and fell bpm 84/56 pulse 121 oxygen 92 next day it was 96/71. Still having problems walking. Blood Pressure is fluctuating, nausea, weakness. could not hold onto objects. Pt is having extreme reaction to Vax and is not able to perform daily duties.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
no
Vorgeschichte
COPD Emphysema Seizure Low Blood Pressure
Andere Medikamente
Subutex gabapentin ibuprophen loputerol nexium flexoril proventyl symbacort 81mg aspirin
Allergien
no
Vorherige Impfungen
-

VAERS 1513399

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
32,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
29.07.2021
Beginn
29.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Fall Feeling hot Hyperhidrosis Muscular weakness Pallor

Symptomtext

Within 15 minutes or less of vaccine patient reported started to become dizzy, and hot. She put her head between her legs to get it to pass, but started to fall to the ground. Husband was nearby and able to break her fall. She was pale, sweaty, and reported dizzy. We checked pulse. She quickly came to and within minutes color returned to her lips/face. She was talking the entire time and answering questions, no signs of anaphylaxis. Her legs were elevated, remained lying on floor, provided cold pack for her to place on her neck. After almost 15 minutes she slowly got up, and stated that she was feeling better, legs a little wobbly. She was able to leave on scooter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
None listed
Vorgeschichte
None listed
Andere Medikamente
unknown, patient does not fill with our pharmacy
Allergien
None listed on questionnaire
Vorherige Impfungen
fainting, patient did not provide specifics, said history as she dislikes needles.

VAERS 1513132

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
PA
Alter
43,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
27.07.2021
Beginn
28.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SC / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary mass Chills Lymphadenopathy Pain Pain in extremity Pyrexia Sleep disorder

Symptomtext

The patient woke up in the middle of the night following her injection with some arm pain. When she woke up the next morning (day after shot), her whole upper body was severely achy and sore and she had a fever of 100.7. The following day (today) she still had body aches and chills and a fever that reached 101.3, and she discovered a "golfball sized lump" under her arm. She had a telemedicine appt with her pcp who confirmed she had a swollen lymph node. He prescriber her ibuprofen 800mg.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
no
Aktuelle Erkrankungen
no
Vorgeschichte
emphysema, cervical spinal stenosis, bp, anxiety
Andere Medikamente
ibuprofen, anoro, gabapentin, dicyclomine, lisinopril/hctz, sumatriptan
Allergien
pcn
Vorherige Impfungen
-

VAERS 1513103

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
LA
Alter
45,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
26.07.2021
Beginn
27.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pruritus Injection site swelling Injection site warmth

Symptomtext

Arm is warm to the touch, itching, and swollen at injection site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Thyroid; Cholesterol
Andere Medikamente
Synthroid; Propranolol; Fluoxetine HCL; Atorvastatin Calcium; D3 Supplement; Elderberry Chewable Supplement; Medroxyprogestrone Acetate
Allergien
Sulfur
Vorherige Impfungen
-

VAERS 1512821

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
GA
Alter
51,0
Geschlecht
M
Eingang
29.07.2021
Impfdatum
05.06.2021
Beginn
14.07.2021
Tage bis Beginn
39,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Anticoagulant therapy Echocardiogram Pain in extremity Ultrasound Doppler

Symptomtext

Experienced sharp pain in leg presenting as a "charlie horse". Patient was admitted to hospital after worsening symptoms and is currently taking eliquis daily.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
1,0
Labordaten
Patient had echo and ultrasound to view heart etc.
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
b12 injection monthly
Allergien
nkda
Vorherige Impfungen
-

VAERS 1510480

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
30,0
Geschlecht
F
Eingang
28.07.2021
Impfdatum
02.06.2021
Beginn
03.07.2021
Tage bis Beginn
31,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Headache Hypersomnia Myalgia Nausea SARS-CoV-2 test negative

Symptomtext

After the first shot it took me about a week to recover from it. After the second shot Ive been experiencing extreme exhaustion and much more sleep than im used to sometimes as much as 12-14hrs, muscle aches and soreness regularly, regular headaches and some nausea. Its been about a month since ive had my second shot and it seems to be getting worse with the exhaustion and headaches.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Recently tested for covid-19 as of 7/27/2021 found negative Tested to see if this wasnt part of an underlying intersex condition 7/28/2021 awaiting results Currently in contact with a covid long-haulers clinic but have not been seen yet.
Aktuelle Erkrankungen
None
Vorgeschichte
Currently being tested for intersex condition
Andere Medikamente
30mg capsule amphetamine salts ER 50mg tablet spironolactone 2mg estradiol (3x daily)
Allergien
None
Vorherige Impfungen
Flu Vaccine

VAERS 1505307

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
54,0
Geschlecht
F
Eingang
27.07.2021
Impfdatum
26.07.2021
Beginn
27.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Diarrhoea Headache Musculoskeletal stiffness Nausea Pain Pyrexia

Symptomtext

Nausea, Diarrhea, Stiff / Aching, Chills, Fever, Headache

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
High Blood Pressure, Cholesterol, Diabetes
Vorgeschichte
High Blood Pressure, Cholesterol, Diabetes
Andere Medikamente
Losartan, Montelukast, Metformin, Estradiol, Bupropion, Atorvastatin
Allergien
-
Vorherige Impfungen
-

VAERS 1502455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
66,0
Geschlecht
M
Eingang
26.07.2021
Impfdatum
01.07.2021
Beginn
12.07.2021
Tage bis Beginn
11,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness

Symptomtext

Patient received the vaccine 5/10/21. Patient stated that 2 weeks after getting the vaccine he stated to get dizzy. Went to the Dr. Test came back fine. The dizziness lasted about one week. patient stated that he received the same reaction but the dizziness was more intense.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Tyroids copd
Andere Medikamente
Rivisol zanax
Allergien
Niaxon penicilin amoxicilin codine
Vorherige Impfungen
-

VAERS 1501173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
OH
Alter
53,0
Geschlecht
M
Eingang
25.07.2021
Impfdatum
17.06.2021
Beginn
19.06.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Pain in extremity Swelling

Symptomtext

Pt complained of knee and lower leg pain and swelling that has been going on for one month, but gradually lessening

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
no
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
nkda
Vorherige Impfungen
-

VAERS 1498588

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NY
Alter
-
Geschlecht
U
Eingang
23.07.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Dizziness Ear swelling External ear inflammation Vaccination complication Vaccination site bruising

Symptomtext

Patient is reporting feeling weak, dizziness, a bruise on left arm (vaccine site), having swollen and inflamed ears one day after taking the vaccine. These sides effects are continuing even a week after.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1498354

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CA
Alter
49,0
Geschlecht
F
Eingang
23.07.2021
Impfdatum
19.07.2021
Beginn
19.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Gait disturbance Hypoaesthesia

Symptomtext

Patient felt like she was going to fait and her legs felt numb, could not walk that well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
Patient felt like she was going to fait and her legs felt numb, could not walk that well.
Vorgeschichte
Pt diagnose with GVS Disease in 2019 and was paralyzed for months
Andere Medikamente
Patient took Tylenol 50 mg and Ibuprofen 600 mg
Allergien
NKA
Vorherige Impfungen
-

VAERS 1498173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
-
Alter
22,0
Geschlecht
F
Eingang
23.07.2021
Impfdatum
07.07.2021
Beginn
08.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Abdominal pain Anaemia Brain natriuretic peptide normal Exposure during pregnancy Fibrin D dimer increased Haemorrhoids Muscle spasms Third trimester pregnancy Troponin normal Vaginal discharge Vulvovaginal candidiasis

Symptomtext

Presented with vaginal discharge and abdominal pain. Patient had first Covid vaccine the day before. Patient admitted. Category I, without contractions by report. ROM + negative, no evidence of LOF. Discharge noted on exam. Cramping likely due to candida vaginal infection. Patient also has a small, external, non-bleeding hemorrhoid. Of note patient is anemic, will not accept blood products. ER MD concerned about elevated D-Dimer, however with a negative troponin and bnp this is likely normal for third trimester of pregnancy. Discussed with Dr, patient to follow up in clinic outpatient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abdominal pain
Hospital-Tage
1,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1491453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CO
Alter
34,0
Geschlecht
F
Eingang
21.07.2021
Impfdatum
16.07.2021
Beginn
17.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site rash Lymphadenopathy Rash

Symptomtext

Pt stated that she had a rash that spread from her injection site that spread to her face, neck and torso. She also had lymph node swelling in her armpits. She has been taking antihistamines without resolution but does not feel that it is getting worse at this time (5 days post vaccination)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1490951

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
62,0
Geschlecht
F
Eingang
21.07.2021
Impfdatum
23.06.2021
Beginn
14.07.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Erythema Pruritus

Symptomtext

Patient stated her arm was a little red and itchy right away, then the redness and a lot of itchiness occurred again 3 weeks later.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
asthma
Andere Medikamente
-
Allergien
iodine
Vorherige Impfungen
-

VAERS 1490803

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
58,0
Geschlecht
M
Eingang
21.07.2021
Impfdatum
19.07.2021
Beginn
20.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Influenza like illness Pain in extremity

Symptomtext

EXTREME ARM PAIN FOR 36 HOURS, FLU-LIKE SYMPTOMS

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE REPORTED
Vorgeschichte
HYPERTENSION
Andere Medikamente
UNKNOWN
Allergien
NONE REPORTED
Vorherige Impfungen
-

VAERS 1484863

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
KS
Alter
58,0
Geschlecht
M
Eingang
19.07.2021
Impfdatum
21.06.2021
Beginn
21.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Rash Rash pruritic Urticaria

Symptomtext

Patient experienced raised rash/hives extending over entire neck and chest with itchiness running down arms. Unknown how long after administration that it started. Patient stated lasted for at least 2 weeks. When patient presented to pharmacy 4 weeks later for the second dose, there were still some welts visible on patients neck/chest area.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1484032

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OR
Alter
73,0
Geschlecht
F
Eingang
18.07.2021
Impfdatum
01.07.2021
Beginn
15.07.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site pruritus Pruritus

Symptomtext

Patient reported itching beginning at injection site and spreading around to various spots 2 weeks after her vaccine. I checked with her 2 days later to see if it resolved and it had.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none indicated
Vorgeschichte
not indicated on form
Andere Medikamente
Levothyroxine, Gabapentin, Clonazepam
Allergien
Meperidine, Propoxyphene
Vorherige Impfungen
-

VAERS 1483801

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
GA
Alter
54,0
Geschlecht
M
Eingang
18.07.2021
Impfdatum
20.06.2021
Beginn
22.06.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Diarrhoea Influenza Nasopharyngitis Pain Rhinorrhoea

Symptomtext

cold and flu symptoms such as achiness, runny nose, diarrhea

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
na
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
nkda
Vorherige Impfungen
-

VAERS 1478500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
44,0
Geschlecht
F
Eingang
16.07.2021
Impfdatum
30.06.2021
Beginn
09.07.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Erythema Feeling hot Pain in extremity Peripheral swelling Post-acute COVID-19 syndrome Pruritus

Symptomtext

Patient experienced "Covid arm". Pain and swelling that onset about a week after administration. She experienced heat sensation, itching, redness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Unknown
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1478144

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AZ
Alter
22,0
Geschlecht
M
Eingang
16.07.2021
Impfdatum
16.06.2021
Beginn
26.06.2021
Tage bis Beginn
10,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Blood test Chest X-ray Cough Decreased appetite Dizziness Thyroid hormones increased Ultrasound scan Weight decreased X-ray

Symptomtext

Pt.'s grandmother states that after receiving the 2nd dose of Moderna 06/16/2021, started experiencing with extreme weight lost and slight cough. Primary visit (Blood work, X-rays, Chest X-ray) showing Thyroid levels elevated. Specialist seen 06/29/2021, Ultrasound continuing current medications. Follow-Up visit scheduled for 07/16/2021. Still experiencing extreme light-headness, weakness, loss of appetite.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
Blood work, X-rays, Chest X-ray 06/16/2021
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1474387

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
65,0
Geschlecht
M
Eingang
15.07.2021
Impfdatum
03.07.2021
Beginn
03.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Fatigue Inappropriate schedule of product administration Pyrexia

Symptomtext

PT PRESENTED TO PHARMACY FOR 2ND DOSE AT 2 WEEKS INSTEAD OF THE RECOMMENDED 4 TO 6 WEEKS. FIRST DOSE GIVEN 6/19/2021. SECOND 7/3/21. PT EXPERIENCED MILD SYMPTOMS AFTER SECOND DOSE (LOW GRADE TEMP, FATIGUE FOR APPROXIMATELY 24 HOURS). NO FOLLOW-UP CARE NECESSARY.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1474061

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
WV
Alter
27,0
Geschlecht
F
Eingang
15.07.2021
Impfdatum
06.07.2021
Beginn
07.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysmenorrhoea Fatigue Menstruation irregular Nausea Pain

Symptomtext

The day after first dose was nauseous, fatigued and achy. Ended the next day. Irregular menstrual bleeding and painful cramps started at the same time but hasn't stopped since. Irregular menustrual bleeding and heavy cramps are still ongoing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No
Vorgeschichte
Hypothyroidism
Andere Medikamente
Levothyroxine 25mg
Allergien
No
Vorherige Impfungen
-

VAERS 1467545

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
67,0
Geschlecht
F
Eingang
13.07.2021
Impfdatum
09.07.2021
Beginn
11.07.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site swelling Injection site warmth

Symptomtext

The patient reported swelling, redness, and warmth in the arm that moved down the arm from the injection site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
Unknown
Andere Medikamente
Methotrexate, Ropinerole ER, Prednisone, Folic Acid, Duloxetine, Furosemide, Cyanocobalamine, Fluticasone NS, Gabapentin, Tizanidine, Levothyroxine
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1466501

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AK
Alter
58,0
Geschlecht
F
Eingang
13.07.2021
Impfdatum
23.06.2021
Beginn
25.06.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ear discomfort Ear pruritus Headache Pain in extremity Throat irritation Throat tightness

Symptomtext

About 2 days after I got the vaccine, my arm was sore and I had a pretty bad headache. About 6 days later, my ears and throat would get itchy and it felt like my ear and throat would close. I've taken allergy meds for the reaction, but I have not seen a doctor yet.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Ear pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
Thyroid meds, Vitamin D
Allergien
NONE
Vorherige Impfungen
-

VAERS 1465588

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NC
Alter
25,0
Geschlecht
F
Eingang
12.07.2021
Impfdatum
12.07.2021
Beginn
12.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Feeling hot Oropharyngeal pain

Symptomtext

Patient reported sore throat and feeling warm

Weitere VAERSDATA-Felder
Praegender Schweregrund
Oropharyngeal pain
Hospital-Tage
-
Labordaten
Blood pressure--118/88
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Allegra
Allergien
Allergies to pineapple, apples, pears and tomatoes
Vorherige Impfungen
-

VAERS 1465371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
GA
Alter
58,0
Geschlecht
F
Eingang
12.07.2021
Impfdatum
12.07.2021
Beginn
12.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Injection site pruritus Oral pruritus Pruritus

Symptomtext

Patient has history of anaphylaxis with wheat, mango, mosquito, and leak. She was told to wait post vaccination for 30 minutes. After vaccination I checked on the patient around 20 minutes mark and she said she said she felt itchiness on the injection site and itching in her chin/mouth area. I recommend and administered benadryl 25mg and observed for another 30 minutes. Patient said she felt better so I sent her home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Benadryl 25mg
Allergien
wheat, mango, mosquito, and leak
Vorherige Impfungen
MMR vaccine- patient mentioned entire arm swells

VAERS 1462157

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
WA
Alter
66,0
Geschlecht
F
Eingang
10.07.2021
Impfdatum
12.06.2021
Beginn
19.06.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site erythema Injection site induration Injection site urticaria

Symptomtext

Starting 7.5 day after the vaccination, hives appeared around the injection site . The next day a red and endured area was present (size 3.5x4 inches). Patient used some corticosteroid cream. It resolved after 14 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1462040

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
58,0
Geschlecht
F
Eingang
10.07.2021
Impfdatum
03.07.2021
Beginn
03.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Pruritus Swelling

Symptomtext

Redness, swelling, itching lasting 7 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1462034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
PA
Alter
63,0
Geschlecht
F
Eingang
10.07.2021
Impfdatum
04.07.2021
Beginn
05.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pruritus

Symptomtext

The morning after her shot, the injection site became itchy and has been itchy ever since then.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
diabetes mellitus
Andere Medikamente
jardiance, jentadueto, glimepiride, metoprolol, atorvastatin, omeprazole, hctz, potassium
Allergien
pcn
Vorherige Impfungen
-

VAERS 1461691

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
TX
Alter
39,0
Geschlecht
M
Eingang
09.07.2021
Impfdatum
07.07.2021
Beginn
09.07.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Gait disturbance Nausea Vomiting

Symptomtext

patient complained of dizziness, difficulty walking, nausea, vomiting

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1460411

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
24,0
Geschlecht
M
Eingang
09.07.2021
Impfdatum
05.07.2021
Beginn
08.07.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash

Symptomtext

PATIENT DEVELOPED RASH ON ARM. PATIENT SAW DR AND WAS GIVEN A STEROID SHOT AND PRESCRIBED A MEDROL DOSEPAK TO COMPLETE AT HOME THAT WAS BROUGHT TO THE PHARMACY AND FILLED TODAY 7/9/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1460378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
61,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
26.06.2021
Beginn
08.07.2021
Tage bis Beginn
12,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Injection site pain Injection site pruritus Injection site swelling

Symptomtext

Swelling, mild itching, and pain at injection site starting about the size of a quarter and increasing about to the size of a 50 cent coin

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1460305

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PR
Alter
47,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Periorbital swelling Swelling face Vomiting

Symptomtext

On 7/02/2021, the patient received the first dose of the MODERNA vaccine. Included in the questions was patient history- patient was allergic to various medicines including aspirin, codeine and foods containing gluten. Included in conditions were hypertension, prolapsed valve and thalassemia, as immunologic conditions. In the interview, she stated she had BENADRYL in her purse but had not taken anything and I, Pharmacy immunizer, told her to wait 30 hours in observation and that we had IV BENADRYL and EPI PEN in case of any emergency and would activate any protocol in the event of. After informing her of possible side effects such as fever, headache, nausea, vomiting, diarrhea, fatigue and to use some ice in the event of inflammation around the area of injection; we proceeded to vaccinate the patient in her left arm. On 7/09/2021 her husband came by in the morning and informed us of that the patient had vomiting that night and days 4-5 after the vaccination. Patient had facial swelling and around her eyes and took 25mg of BENDARYL x 2days. On 3pm, I proceeded to call Doctor to inform them of the incident but they did not answer. I called the patient's husband and he told me she was fine and I asked him if he had another phone or cell number to the doctor who had given the authorization for the vaccination, because I couldn't find it. To this, the patient's husband told me that the doctor was not in today and that the patient was due to see her the following Monday (7/12) or Tuesday (7/13) and would notify her.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vomiting
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Hypertension; Prolapsed valve; Thalassemia
Vorgeschichte
Same as aforementioned
Andere Medikamente
For blood pressure and 3 weeks prior, was taking Acyclovir 400 mg. The doctor had recommended discontinuing med 3 weeks prior to receiving MODERNA vaccine.
Allergien
Codeine; Aspirin; Gluten
Vorherige Impfungen
-

VAERS 1460055

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
NY
Alter
64,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site nerve damage Injection site pain Pain in extremity

Symptomtext

Site: Pain at Injection Site-Severe, Additional Details: left arm is hurting 9 days after injection patient said doctor has but her on gabapentin with diagnoses of hitting nerve with injection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site nerve damage
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1460034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
45,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
01.07.2021
Beginn
09.07.2021
Tage bis Beginn
8,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Induration Pruritus Swelling

Symptomtext

redness, swollen, firmness, itchy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
krill, multi vitamin, green tea
Allergien
n/a
Vorherige Impfungen
-

VAERS 1459956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MT
Alter
53,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
30.06.2021
Beginn
01.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Fatigue Nausea Renal disorder Vomiting

Symptomtext

The patient presented to the ER the day following the vaccines. She reported to her primary provider that she was experiencing fatigue, nausea, and vomiting since she received the vaccine. She received IV fluids and ondansetron. When contacted by the pharmacy the patient stated she had kidney damage as well. As of 7/9 /21, she is still experiencing side effects.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown. none listed
Andere Medikamente
venlafaxine
Allergien
phenothiazines
Vorherige Impfungen
-

VAERS 1457048

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
48,0
Geschlecht
F
Eingang
08.07.2021
Impfdatum
05.07.2021
Beginn
07.07.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain in extremity Rash Rash pruritic Skin warm

Symptomtext

Patient developed a rash on her upper left arm. She noticed the rash appearing two days post-vaccination. She reported that the rash is itchy and warm to the touch, and her upper arm feels sore. No other adverse effects reported at this time. Recommended the patient take diphenhydramine for help with symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None known
Vorgeschichte
None known
Andere Medikamente
-
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1451982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
IL
Alter
68,0
Geschlecht
F
Eingang
06.07.2021
Impfdatum
03.07.2021
Beginn
04.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Hypersomnia Injection site pain Injection site swelling Injection site warmth

Symptomtext

Pt has swelling at injection site, it is warm to touch, and is about the size of golf ball and kind of painful, patient is also experiencing fatigue and has cited sleeping almost the entire past 2 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1450570

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
47,0
Geschlecht
F
Eingang
06.07.2021
Impfdatum
02.07.2021
Beginn
05.07.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Peripheral swelling Rash

Symptomtext

Patient had the Moderna vaccine on 7/2/21. However, she had a rash/swellling/redness on her arm. Currently taking fluocinonide cream to treat it. Patient received medication today 7/6/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 1446948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CA
Alter
71,0
Geschlecht
F
Eingang
05.07.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain

Symptomtext

Patient complained of pain persisting until 07/05/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
None available
Aktuelle Erkrankungen
UNKNOWN - NONE LISTED
Vorgeschichte
UNKNOWN - NONE LISTED
Andere Medikamente
UNKNOWN- NONE LISTED
Allergien
LACTOSE, TYLENOL-CODEINE, NORCO - EMESIS
Vorherige Impfungen
-

VAERS 1446722

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
UT
Alter
19,0
Geschlecht
M
Eingang
04.07.2021
Impfdatum
03.07.2021
Beginn
04.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Nausea Pain Vomiting

Symptomtext

Nauseated, throwing up , body aches , headache

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Cough
Vorgeschichte
Asthma
Andere Medikamente
-
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1443926

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
45,0
Geschlecht
F
Eingang
02.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain in extremity Peripheral swelling

Symptomtext

We administered 2nd dose of Moderna early in the day at 10 am. Patient called at 5:15 pm to report leg and feet swelling and pain in her legs, otherwise she felt fine. We told her to keep her feet elevated and to call her doctor if she felt worse. Since it's a holiday weekend, told her to be aware of signs of myocarditis and blood clots and if she felt worse, to seek emergency care. Also told her to report to vsafe.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
none reported
Vorgeschichte
none reported
Andere Medikamente
unknown
Allergien
no allergies reported
Vorherige Impfungen
-

VAERS 1443911

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
-
Alter
40,0
Geschlecht
F
Eingang
02.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Nausea

Symptomtext

patient came to pharmacy reporting nausea post vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1443705

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
TX
Alter
54,0
Geschlecht
M
Eingang
02.07.2021
Impfdatum
01.07.2021
Beginn
02.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Nausea Pain Vomiting

Symptomtext

throwing up, nausea, body aches

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none reported
Vorgeschichte
diabetes
Andere Medikamente
none reported
Allergien
none reported
Vorherige Impfungen
-

VAERS 1443626

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
55,0
Geschlecht
F
Eingang
02.07.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Injection site pain Pain Pyrexia

Symptomtext

Bodyaches, fever 103 degrees (normal body temp is below average), headaches, injection site pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma, Fibromialgia, Osteoathritis
Andere Medikamente
Nexcium 40ml, Gavapentin 300ml, Licinapro 40ml, Vitamin D, Alegra 180ml, Aspirin, Tylonol, Singular 10ml, Amatriptolin 50ml, water pill
Allergien
Tripnomicin
Vorherige Impfungen
-

VAERS 1441103

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MO
Alter
21,0
Geschlecht
M
Eingang
01.07.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood pressure decreased Dizziness

Symptomtext

Patient felt dizzy and lightheaded shortly after administration. He states that he often works himself up over medical issues. BP dropped to 86/60 at one point. EMS was called and took over situation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
PCN
Vorherige Impfungen
-

VAERS 1441040

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CA
Alter
81,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Expired product administered

Symptomtext

Moderna vaccine was administered at 7 hours past the recommended 12-hr BUD after first puncture. Bottle was kept at room temperature for a total of 20 hrs. Pt reported no significant symptoms the following day after administration, only some lightheadedness the night prior.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
none indicated
Vorgeschichte
none indicated on pharmacy records
Andere Medikamente
glipizide, lisinopril, aspirin, metformin, januvia
Allergien
none indicated on pharmacy records
Vorherige Impfungen
-

VAERS 1440926

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
IL
Alter
32,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
24.06.2021
Beginn
30.06.2021
Tage bis Beginn
6,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site rash Pruritus Swelling Urticaria

Symptomtext

Pt developed hives and a rash near site of injection--rash has spread to a larger part of arm--patient used ice for swelling and Benadryl for itching

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
ORAL CONTRACEPTIVE
Allergien
NO
Vorherige Impfungen
-

VAERS 1440772

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OH
Alter
52,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
08.06.2021
Beginn
16.06.2021
Tage bis Beginn
8,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Purpura Rash Rash erythematous Rash pruritic

Symptomtext

About 8 days after vaccine I developed a rash on the left side of my body that started as tiny bumps but has gotten bigger. Its red, painful, itchy, and bleeds.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
No
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
No
Vorherige Impfungen
-

VAERS 1440637

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
MO
Alter
31,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
01.07.2021
Beginn
01.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Eye pruritus Headache Nausea Throat irritation

Symptomtext

Pt received the vaccine 07/01/21 at 9:50. pt went home after the shot. she called the pharmacy at 11:20 stating that she was nauseous, headache, itchy eyes and scratchy throat. pe pt discussion in the past she had and allergy to benedryl (paridoxical rxn with benedryl causing anaphylaxis). due to this I instructed her to go to the ER and seek treatment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Eye pruritus
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
ortho cycline
Allergien
Benedryl
Vorherige Impfungen
-

VAERS 1437962

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
CO
Alter
32,0
Geschlecht
M
Eingang
30.06.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Vomiting

Symptomtext

passed out 5 min after receiving the vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vomiting
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1437473

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
FL
Alter
36,0
Geschlecht
F
Eingang
30.06.2021
Impfdatum
22.06.2021
Beginn
23.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site pruritus Injection site swelling

Symptomtext

redness with elevation/swelling and itching to injection site. progressively spread to a larger area per caller.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, anxiety, depression
Andere Medikamente
effexor 150mg daily, bupropion 300mg daily, atenolol 25mg daily
Allergien
NKA
Vorherige Impfungen
-

VAERS 1434283

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
IL
Alter
51,0
Geschlecht
F
Eingang
29.06.2021
Impfdatum
15.06.2021
Beginn
15.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dermatitis Erythema Papule Pruritus Rash

Symptomtext

patient had red arm, but subsequently developed small itchy spots with white rims and hard white center. on both arms Saw internist who stated she thought it was a dermatitis and prescribed steroid cream. Patient felt that since it developed a few days after her vaccination it might be from that

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1434040

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
39,0
Geschlecht
F
Eingang
29.06.2021
Impfdatum
29.06.2021
Beginn
29.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness postural Feeling abnormal

Symptomtext

Dizziness occurred when standing after a 15 minute wait time. She sat back down and we gave her an ice pack and took blood pressure/pulse (159/98 + 66bpm) She waited about 10 more minutes and was not dizzy so she left with family. We checked back in at the end of the night and she was not feeling her best but wasn't dizzy any more.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness postural
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1434013

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MI
Alter
24,0
Geschlecht
M
Eingang
29.06.2021
Impfdatum
20.06.2021
Beginn
20.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Injection site swelling Nausea Pain Pyrexia Vomiting

Symptomtext

Headache from 6/20/21-6/24/21, Fever of 99.5-100.2, nausea, vomiting, chills, aches, arm still swollen around injection site. Symptoms were gone by 6/25/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Celiac Disease, Bipolar, IgA, IgG, IgM deficiency
Andere Medikamente
Lamictal, Lithium Carbonate
Allergien
None
Vorherige Impfungen
-

VAERS 1433924

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
59,0
Geschlecht
F
Eingang
29.06.2021
Impfdatum
17.06.2021
Beginn
17.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Nausea

Symptomtext

PATIENT STATES SHE IS STILL EXPERIENCING NAUSEA AND HEADACHES FROM 1ST COVID SHOT. ADVISED PATIENT TO TAKE ZOFRAN AND/OR TYLENOL BUT TO CONTACT MD IF SYMPTOMS PERSIT.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
RANEXA BELSOMRA OZEMPIC FARXIGA TRESIBA IRBESARTAN LORAZEPAM ESCITALOPRAM MELOXICAM OMEPRAZOLE LOSARTAN FAMOTIDINE CARVEDILOL PRISTIQ ROPINOROLE SEROQUEL
Allergien
NKA
Vorherige Impfungen
-

VAERS 1432944

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
GA
Alter
44,0
Geschlecht
F
Eingang
29.06.2021
Impfdatum
26.06.2021
Beginn
28.06.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cardiac flutter Heart rate increased Swelling Urticaria

Symptomtext

Feelings of having a fast-beating or fluttering heart, hives, and swelling

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Amlodipine/Valsartan 5-160mg
Allergien
-
Vorherige Impfungen
-

VAERS 1431521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AR
Alter
28,0
Geschlecht
F
Eingang
28.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysgeusia Injection site erythema Injection site swelling Swelling face

Symptomtext

metallic taste (saturday night for a few hours) Injection site reaction: redness, swelling face swelled: no problems breathing

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
Hashimoto's
Vorgeschichte
anemia, Hashimoto's
Andere Medikamente
I do not know.
Allergien
nkda
Vorherige Impfungen
-

VAERS 1430383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NC
Alter
58,0
Geschlecht
F
Eingang
27.06.2021
Impfdatum
22.06.2021
Beginn
22.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site pain Injection site swelling

Symptomtext

patient said that she was experiencing an extremely sore arm, redness and swelling at the injection site that has lasted 5 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1430227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
56,0
Geschlecht
M
Eingang
27.06.2021
Impfdatum
27.06.2021
Beginn
27.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness Dysphagia Throat tightness

Symptomtext

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient left the store after waiting designated time after injection. Came back about 20 min later saying that he felt dizzy and like his throat was tightening (similar to when he was given penicillin in the past). He refused epinephrine and an ambulance. He did take a Benadryl and said he was going straight to the ER. Will contact patient to follow up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1430186

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
GA
Alter
33,0
Geschlecht
F
Eingang
27.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Rash Second trimester pregnancy Skin warm

Symptomtext

23 week pregnant patient received second dose of Moderna COVID vaccine on 6/24/21 and started developing a rash that night underneath the injection site. Rash was warm to the touch and slightly itchy, but no other adverse effects or signs of anaphylaxis. I recommended the patient use hydrocortisone cream to help with itching and to contact pharmacy and OB if rash worsened or did not resolve in a few days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Unknown
Allergien
omeprazole
Vorherige Impfungen
-

VAERS 1427025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
49,0
Geschlecht
F
Eingang
27.06.2021
Impfdatum
22.06.2021
Beginn
23.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pain Lymphadenopathy Pain Lymph node pain

Symptomtext

Besides the soreness on the site and body aches, developed lymph nodes ( a large one on my left armpit and another in my neck- front). Taking Tylenol, iboprofen and using heating pad on it but not getting smaller yet. Went to urgent care saw the doctor this morning ).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lymph node pain
Hospital-Tage
-
Labordaten
Not yet. Just doctor examination
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Tylenol and Ibuprofen
Allergien
Latex
Vorherige Impfungen
-

VAERS 1427025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
49,0
Geschlecht
F
Eingang
27.06.2021
Impfdatum
22.06.2021
Beginn
23.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pain Lymphadenopathy Pain Lymph node pain

Symptomtext

Besides the soreness on the site and body aches, developed lymph nodes ( a large one on my left armpit and another in my neck- front). Taking Tylenol, iboprofen and using heating pad on it but not getting smaller yet. Went to urgent care saw the doctor this morning ).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lymph node pain
Hospital-Tage
-
Labordaten
Not yet. Just doctor examination
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Tylenol and Ibuprofen
Allergien
Latex
Vorherige Impfungen
-

VAERS 1429876

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
TX
Alter
39,0
Geschlecht
F
Eingang
26.06.2021
Impfdatum
23.06.2021
Beginn
24.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood urine present Feeling abnormal Nausea Pyrexia Sepsis Vomiting

Symptomtext

Patient started feeling bad due to fever, nausea, vomiting, and blood in urine. Was transported to emergency room and was diagnosed with sepsis. Was admitted overnight and given iv fluids and antibiotics. Discharged following day and given more antibiotics

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
phentermine
Allergien
-
Vorherige Impfungen
moderna covid vaccine first dose on 05/26/2021, age 39, patient reported fever, body ache, chills, headache

VAERS 1429740

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
OH
Alter
20,0
Geschlecht
F
Eingang
26.06.2021
Impfdatum
26.06.2021
Beginn
26.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blepharospasm Dizziness Malaise Pallor Retching

Symptomtext

After receiving vaccine, Patient was waiting in front of the pharmacy when parent yelled for my attention. I went out immediately to check on patient. She was swaying and eyes were fluttering. Patient was still communicating verbally and said she felt light-headed, was feeling sick, and extremely pale. Got patient a trash can and cold compress to apply to neck and face. She dry heaved, but no vomit was produced. Parents stayed next to patient and I checked on her every 5 minutes. She was okay to leave after sitting for approximately 30 minutes with color returning to her face. No other reaction occurred during this time.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Unknown, new patient for us
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1426765

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
22,0
Geschlecht
F
Eingang
25.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pyrexia Retching

Symptomtext

fever>101.2 and dry heaving (unable to vomit due to lack of eating)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pyrexia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1424836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OK
Alter
81,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Malaise Nausea Vomiting

Symptomtext

Patient was given her first dose of the moderna covid vaccine. She briefly waited around the pharmacy afterwards then began wandering to the back of the store. Roughly 30 minutes after administering the vaccine, she came back to the pharmacy and vomited. Pharmacy staff checked on her and she stated she felt weak, nauseaus, and sick. She stated she just needed a moment to recover and did not need EMS, but the feeling did not pass, so a code white was called and EMS were called to check out the patient. They checked vitals and spoke with the patient, but she did not want to go to the hospital at that time, so she was allowed to rest in the immunization booth until she felt comfortable driving herself home. However, the feeling still did not pass, so roughly 45 minutes later she requested EMS be called again, and she was taken to the hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Malaise
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1424419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
KS
Alter
60,0
Geschlecht
M
Eingang
24.06.2021
Impfdatum
23.06.2021
Beginn
23.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Decreased appetite Dizziness Musculoskeletal stiffness Myalgia Pain in extremity

Symptomtext

Muscle aches, arm soreness, shoulder tightness, lightheadedness (better), decreased appetite. patient taking tylenol and aleve to help alleviate symptoms. Symptoms began 6/23/2021 at 6PM. lightheadedness recovered.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
immunosuppresion secondary to cancer chemotherapy.
Andere Medikamente
none
Allergien
Tetanus, codeine
Vorherige Impfungen
-

VAERS 1424393

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
48,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Immediate post-injection reaction Injection site pruritus

Symptomtext

PATIENT HAD ITCHING AT THE INJECTION SITE FOLLOWING THE FIRST DOSE AND WAS STARTING TO ITCH IMMEDIATELY AFTER ADMINISTRATION OF THE SECOND DOSE (TODAY). NO RASH OBSERVED. OFFERED PATIENT LIQUID BENADRYL AND SHE ACCEPTED. GAVE PATIENT 10ML OF BENADRYL 12.5MG/5ML WHILE SEATED IN THE OBSERVATION CHAIR. PATIENT DRANK WITH NO ISSUES AND DID NOT COMPLAIN OF ITCHING AFTER ADMINISTRATION.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
COUGH FROM SEASONAL ALLERGIES
Vorgeschichte
PT WAS RECENTLY DISCHARGED FROM REHAB, DID NOT OFFER WHAT TYPE OF REHAB
Andere Medikamente
UNKNOWN
Allergien
NKDA
Vorherige Impfungen
HAD ITCHING AT INJECTION SITE FOLLOWING FIRST DOSE OF MODERNA

VAERS 1424335

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
NY
Alter
21,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Haemorrhage Immediate post-injection reaction Induration Lip discolouration Malaise Peripheral swelling Skin discolouration

Symptomtext

Right after administration, patients arm started bleeding a lot so we cleaned up the blood and were going to switch out the bandaid and noticed her arm was already really swollen and hard (like a big marble under the skin). She then said that she was feeling really dizzy and thought she was going to pass out. She turned white and said she felt very sick. She leaned back in her chair and a cold ice pack was applied to her forehead and the injection site. This continued for about 30 minutes and then colored returned to her face and lips and she said she was feeling much better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1423841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
GA
Alter
66,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
14.06.2021
Beginn
15.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Headache

Symptomtext

My wrist was so painful I couldn't hold anything and I had a headache. I woke up with a headache and my wrist was hurting so bad. I called the doctor that following day. I took Tylenol that day every four hours. I did not actually go to the doctor because my insurance has lapsed. I called lifeline. My wrist is still very painful.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
genetic tissue disorder - loezdietz
Andere Medikamente
losartan - 7.5mg/1xday multivitamin - (generic) 1xday vitamin D (generic) - 2000iu/1xday fish oil (generic) - 1xday
Allergien
sulfa chloramine
Vorherige Impfungen
-

VAERS 1423261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
CA
Alter
63,0
Geschlecht
F
Eingang
24.06.2021
Impfdatum
14.06.2021
Beginn
20.06.2021
Tage bis Beginn
6,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Cellulitis Erythema Infection Injection site erythema Injection site pain Injection site swelling Peripheral swelling Skin warm

Symptomtext

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Infection / Cellulitis (diagnosed by MD), Additional Details: hot to touch arm, swollen, red, no fever

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1421550

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
19,0
Geschlecht
F
Eingang
23.06.2021
Impfdatum
22.06.2021
Beginn
22.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Nausea Vomiting

Symptomtext

dizzy, nausea, vomiting

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
has issue with throwing up easily
Vorgeschichte
none
Andere Medikamente
none
Allergien
cinnamon causes throat to swell
Vorherige Impfungen
dizzy, nausea flu vaccine (unknown type)

VAERS 1421506

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21a

mild
Staat
NJ
Alter
55,0
Geschlecht
F
Eingang
23.06.2021
Impfdatum
23.06.2021
Beginn
23.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Immediate post-injection reaction Injection site erythema Injection site pruritus Injection site swelling

Symptomtext

Patient experienced redness, swelling, and itching at injection site immediately following administration. Benadryl oral solution was given. Patient waited 15 minutes without worsening symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1415686

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
NC
Alter
21,0
Geschlecht
M
Eingang
21.06.2021
Impfdatum
21.06.2021
Beginn
21.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Nausea

Symptomtext

Patient started feeling really nauseous after receiving the vaccine and had to lay down for about 15 minutes and drink some water. Patient did not need any medical attention. Patient had to call her husband to come and get her. Patient attributed it to her fear of needles.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1415356

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
OH
Alter
24,0
Geschlecht
M
Eingang
21.06.2021
Impfdatum
10.06.2021
Beginn
11.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Fatigue Lethargy Pyrexia

Symptomtext

Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1413177

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
TX
Alter
55,0
Geschlecht
F
Eingang
19.06.2021
Impfdatum
18.06.2021
Beginn
19.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Lethargy Myalgia Pain in extremity

Symptomtext

Woke up day after shot around 9:30am with a localized pain, left of center, on my left glute muscle. Other side effects are normal... arm very sore shortly after shot and still sore the next day, by 8pm on the following day, feeling lethargic with upper body muscle aches and a headache.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hashimoto Thyroiditis
Andere Medikamente
Vyvanse, Estradial, NP Thyroid, Valtrex, Atorvastatin
Allergien
None
Vorherige Impfungen
-

VAERS 1411749

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
OR
Alter
24,0
Geschlecht
M
Eingang
18.06.2021
Impfdatum
18.06.2021
Beginn
18.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Hyperhidrosis Nausea

Symptomtext

Pt received 2nd dose of moderna vaccine and within 1 minute started presenting symptoms of anxiety, sweat spells, and nausea. Pt was provided with water and a pharmacy bag in case of vomiting. Vomiting did not occur, only slight spit up into the bag. Pt remained conscious the entire time, no syncope occurred. Pt was observed for a time period of 30 minutes; pt felt much better after that time and was released from the pharmacy area.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1408227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
OH
Alter
32,0
Geschlecht
F
Eingang
17.06.2021
Impfdatum
16.06.2021
Beginn
16.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site induration Injection site pain Injection site swelling

Symptomtext

Redness and swelling and pain at injection site. Pt also stated it was a little hard at injection site also

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1407805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
39,0
Geschlecht
F
Eingang
17.06.2021
Impfdatum
16.06.2021
Beginn
17.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site swelling Injection site warmth Local reaction

Symptomtext

Localized reaction to injection site. Red area 2"X2" diameter, sl raised & warm to touch.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Asthma & Hyperthyroidism
Andere Medikamente
Naproxen, Celexa, xopenex, atarax, abilify, Vit D2
Allergien
Cats
Vorherige Impfungen
-

VAERS 1402380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
PA
Alter
37,0
Geschlecht
F
Eingang
16.06.2021
Impfdatum
10.06.2021
Beginn
11.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Eczema Injection site rash

Symptomtext

Extreme eczema outbreak on neck, chest, under breasts, arm pits, elbow and knee creases. Also rash at injection site. Slowly getting better with over the counter topical treatment over the course of 1 week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
prenatal vitamins
Allergien
-
Vorherige Impfungen
-

VAERS 1399474

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MD
Alter
47,0
Geschlecht
F
Eingang
15.06.2021
Impfdatum
05.06.2021
Beginn
13.06.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site reaction Peripheral swelling Pruritus Rash Rash erythematous Skin warm

Symptomtext

Patient developed painful red rash at injection site on 6/13/21. Patient also said arm was swollen, hot and itchy. Patient took ibuprofen and diphenhydramine and the pain, swelling, hot and itchiness has reduced.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site reaction
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
high blood pressure
Andere Medikamente
sertraline, hydrochlorothiazide, verapamil, ibuprofen, diphenhydramine
Allergien
none
Vorherige Impfungen
-

VAERS 1398902

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AR
Alter
55,0
Geschlecht
F
Eingang
15.06.2021
Impfdatum
11.06.2021
Beginn
14.06.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash

Symptomtext

Rash

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Tylenol Humira methotrexate famotidine bupropion folic acid estradiol aspirin metoprolol atorvastatin Norethindrone
Allergien
-
Vorherige Impfungen
-

VAERS 1395805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
WI
Alter
37,0
Geschlecht
M
Eingang
14.06.2021
Impfdatum
13.06.2021
Beginn
14.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Injection site scar Nausea Pyrexia

Symptomtext

patient stated experienced a welt at site of injection. patient also experienced nausea, chills, joint aces and high fevers

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
none known
Aktuelle Erkrankungen
nerve pain
Vorgeschichte
nerve pain
Andere Medikamente
amitriptylin, naratriptan, percocet, bupropion, mobic, tizanidine, ondansetron, lyrica
Allergien
lithium and tetracyclines listed, no notes on what type of rxn occured.
Vorherige Impfungen
-

VAERS 1394423

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
35,0
Geschlecht
F
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness

Symptomtext

ABOUT 10 MINUTES AFTER PATIENT HAD HER MODERNA VACCINE SHE STATED SHE WAS FILLING DIZZY. WE PLACED COLD PACKS ON HER CHEST AND BACK OF NECK AND SAT WITH PATIENT UNTIL SHE LEFT. AT THE TIME SHE LEFT PATIENT WAS FINE AND NO LONGER DIZZY.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1394395

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
-
Alter
51,0
Geschlecht
F
Eingang
12.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypoaesthesia Pain in extremity

Symptomtext

Numbness of fingers 3 days after vaccine with persistent sore arms

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1394335

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
OK
Alter
37,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness

Symptomtext

Pt felt dizzy after administration. Had him lie down with feet elevated for five minutes. Pt was able to sit up again and rest for 30 minutes. Was able to leave normally

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1392858

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
AL
Alter
58,0
Geschlecht
M
Eingang
11.06.2021
Impfdatum
06.06.2021
Beginn
10.06.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Deafness Local reaction Pain in extremity Peripheral swelling

Symptomtext

Patient rec'd shot on Sunday. Had local reaction to begin with, arm swollen in area and sore. Soreness left on Wednesday June 9th. However, patient is stating hearing loss began Thursday June 10 and has continued. I called Moderna customer rep and stated that this was not a normal or to-be expected adverse effect of their vaccine. Patient would not authorize me to release any additional information to Moderna. I cautioned patient to visit a physician if symptoms did not resolved in next 48 hours.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
none listed on form
Vorgeschichte
none listed on form
Andere Medikamente
unknown
Allergien
none listed on form
Vorherige Impfungen
-

VAERS 1386586

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

mild
Staat
NY
Alter
23,0
Geschlecht
F
Eingang
09.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Haemorrhage Nausea

Symptomtext

The patient bleed after her vaccine and almost passed out with slight nausea.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none known
Vorgeschichte
mild asthma
Andere Medikamente
unknown
Allergien
none
Vorherige Impfungen
-

VAERS 1382128

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
36,0
Geschlecht
F
Eingang
08.06.2021
Impfdatum
04.06.2021
Beginn
04.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Peripheral swelling Pruritus Rash

Symptomtext

Break out and swollen left arm. Extremely itchy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1381864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CA
Alter
34,0
Geschlecht
M
Eingang
08.06.2021
Impfdatum
08.06.2021
Beginn
08.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Vision blurred

Symptomtext

Patient got dizzy, and cloudy vision after the vaccine dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1378047

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
FL
Alter
39,0
Geschlecht
F
Eingang
07.06.2021
Impfdatum
01.06.2021
Beginn
02.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Fear Headache Injection site pain Nausea

Symptomtext

Chills, fever, severe headache, nasea. Took ibuprofen, cold compress to head, blanket for chills. Chills and nausea lasted for 6 or 7 hours, Fever lasted for 48 hours. Headache lasted for 60 hours. Very sore arm at injection site which lasted for about 72 hours.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1377354

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MA
Alter
18,0
Geschlecht
F
Eingang
07.06.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness

Symptomtext

Patient describes feeling lightheaded and dizzy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1377336

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
MA
Alter
20,0
Geschlecht
M
Eingang
07.06.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Dizziness

Symptomtext

Patient describes feeling anxious and dizzy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1376694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
VA
Alter
64,0
Geschlecht
F
Eingang
06.06.2021
Impfdatum
02.06.2021
Beginn
06.06.2021
Tage bis Beginn
4,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash Rash erythematous Rash pruritic Skin warm

Symptomtext

Patient reported a red rash. It was warm to the touch and itched/hurt.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
codeine
Vorherige Impfungen
-

VAERS 1371167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
IN
Alter
29,0
Geschlecht
M
Eingang
03.06.2021
Impfdatum
01.06.2021
Beginn
02.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Nausea Pyrexia

Symptomtext

Chills and shivering, fever, head ache and nausea started about 12 hours after injection. Shivering went away after I put on more layers and warmed up, fever head ache and nausea lasted for about 12 hours. Symptoms were gone approximately 36 hours after injection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1364636

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
CT
Alter
23,0
Geschlecht
M
Eingang
01.06.2021
Impfdatum
01.06.2021
Beginn
01.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Hyperhidrosis

Symptomtext

Pt. received shot at 7:42 am. At 7:49 am pt. reported that he had a headache, sweats and chills. Monitored pt. He reported no difficulty breathing, no itching. BP at 8:02 am was 115/89 pulse 108 and pt. reported that chills and sweats were gone. At 8:12 am pt said he felt fine except a mild headache on the left side of his head. Pt. left pharmacy at that time. Advised pt. not to get 2nd dose of Moderna vaccine and to consult physician if any other symptoms develop throughout the day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
unknown
Allergien
none listed
Vorherige Impfungen
-

VAERS 1362101

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
IN
Alter
24,0
Geschlecht
F
Eingang
31.05.2021
Impfdatum
29.05.2021
Beginn
29.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Pain in extremity Pyrexia

Symptomtext

Sore arm, dizziness, lightheadedness, fever

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Codeine
Vorherige Impfungen
-

VAERS 1361755

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

mild
Staat
-
Alter
19,0
Geschlecht
M
Eingang
30.05.2021
Impfdatum
29.05.2021
Beginn
29.05.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Hypoaesthesia Pruritus

Symptomtext

Patient stated that he felt itching and numbness all over a few minutes after receiving the Moderna vaccination. He was offered dihpenhydramine but refused because he stated that he had to leave to go to work. He said that he was stopping by his house before work so he would take diphenhydramine if he needed to at home. I told the patient he should wait at the pharmacy longer for observation but he still left because he had to go work. He said that he felt okay before leaving the pharmacy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2714469

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
KY
Alter
74,0
Geschlecht
M
Eingang
16.11.2023
Impfdatum
31.12.2021
Beginn
13.11.2023
Tage bis Beginn
682,0
Dosis
2
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient died from COVID on 11-13-2023

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
7,0
Labordaten
PCR positive COVID test on 11-9-2023
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2595062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TN
Alter
44,0
Geschlecht
M
Eingang
11.03.2023
Impfdatum
11.05.2021
Beginn
01.05.2022
Tage bis Beginn
355,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Herpes zoster

Symptomtext

1st case of shingles confirmed in May 2022, lasting through July 2022. 2nd case of shingles confirmed by doctor on 3/8/2023.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Herpes zoster
Hospital-Tage
-
Labordaten
No tests required to confirm shingles. Visual confirmation provided by medical staff for 1st case in May 2022. 2nd incident confirmed by family doctor on March 8th, 2023.
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Multi-vitamins
Allergien
N/A
Vorherige Impfungen
-

VAERS 2243453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
-
Alter
33,0
Geschlecht
F
Eingang
20.04.2022
Impfdatum
05.06.2021
Beginn
23.08.2021
Tage bis Beginn
79,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Catheter site haemorrhage Central venous catheterisation SARS-CoV-2 test positive

Symptomtext

8/23/21 PMH of mitral valve endocarditis d/t E Cloacae (on IV Ertapenem), decompensated alcoholic cirrhosis currently on transplant list, esophageal varices, IDA, IBS, tobacco abuse who presents for complaint of bleeding from PICC line site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
8/23/21 SARS-CoV-2 (COVID-19) by NAA, Micro Detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2234210

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ID
Alter
43,0
Geschlecht
M
Eingang
14.04.2022
Impfdatum
28.05.2021
Beginn
28.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

PATIENT RECEIVED FIRST VACCINATION ON 05/28/2021 AND SECOND DOSE ON 06/18/2021. THIS WAS ONLY 21 LAG DAYS BETWEEN VACCINATIONS.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2177323

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
OK
Alter
59,0
Geschlecht
M
Eingang
13.03.2022
Impfdatum
17.08.2021
Beginn
24.09.2021
Tage bis Beginn
38,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Vaccine breakthrough infection

Symptomtext

Inpatient hospitalization/ Breakthrough Covid

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2173264

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
FL
Alter
57,0
Geschlecht
M
Eingang
11.03.2022
Impfdatum
02.07.2021
Beginn
24.01.2022
Tage bis Beginn
206,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Unevaluable event

Symptomtext

ADMITTED TO HOSPITAL

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2151933

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MO
Alter
69,0
Geschlecht
M
Eingang
02.03.2022
Impfdatum
10.08.2021
Beginn
22.02.2022
Tage bis Beginn
196,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Abnormal behaviour Aphasia COVID-19 Motor dysfunction SARS-CoV-2 test positive

Symptomtext

Case without observable COVID symptoms. Behavior changes in motor function and speech (it's like he has "cerebral palsy" and "is talking funny" per family member in hospital room) began in early Feb. Indeed, this reporter noted word searching behaviors during phone call. Otherwise, (+) COVID real-Time Transcriptase PCR test on 2/22/22 at hospital. No treatments at present, Pt was continuing tests/assessments.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abnormal behaviour
Hospital-Tage
9,0
Labordaten
(+) COVID real-Time Transcriptase PCR test on 2/22/22
Aktuelle Erkrankungen
none recalled
Vorgeschichte
previously elevated BP, may have been taking Rx at one time, not taking recently
Andere Medikamente
none recalled, none reported
Allergien
NKA
Vorherige Impfungen
-

VAERS 2145298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ID
Alter
13,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
05.08.2021
Beginn
-
Tage bis Beginn
-
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

a staff member accidentally gave the Moderna Covid-19 Vaccine to a 13 year old; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (a staff member accidentally gave the Moderna Covid-19 Vaccine to a 13 year old) in a 13-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (a staff member accidentally gave the Moderna Covid-19 Vaccine to a 13 year old). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (a staff member accidentally gave the Moderna Covid-19 Vaccine to a 13 year old) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant and treatment medication was not provided. The patient had no adverse effect from the vaccine. Most recent FOLLOW-UP information incorporated above includes: On 06-Oct-2021: Information regarding adverse events updated.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2143915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NE
Alter
51,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
22.06.2021
Beginn
22.07.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Gave patient expired dose of vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History was provided by the reporter. Concomitant products included BUDESONIDE, LISINOPRIL and OMEPRAZOLE for an unknown indication. On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jul-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine). On 22-Jul-2021, EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment details were not provided. This case was linked to MOD-2021-276704 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 04-Aug-2021: Patient's demographic details and Patient route of administration was added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History was provided by the reporter.
Andere Medikamente
BUDESONIDE; LISINOPRIL; OMEPRAZOLE
Allergien
-
Vorherige Impfungen
-

VAERS 2143914

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NE
Alter
26,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
22.06.2021
Beginn
22.07.2021
Tage bis Beginn
30,0
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered Extra dose administered

Symptomtext

Revaccinated next day; gave patient expired dose of vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (gave patient expired dose of vaccine) and EXTRA DOSE ADMINISTERED (Revaccinated next day) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 009D21A and 007D21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Jun-2021 at 4:08 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jul-2021 at 3:31 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Jul-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (gave patient expired dose of vaccine). On 23-Jul-2021, the patient experienced EXTRA DOSE ADMINISTERED (Revaccinated next day). On 22-Jul-2021, EXPIRED PRODUCT ADMINISTERED (gave patient expired dose of vaccine) had resolved. At the time of the report, EXTRA DOSE ADMINISTERED (Revaccinated next day) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product information was not provided by the reporter. Treatment information was not provided. Patient was revaccinated on 23 Jul 2021 Most recent FOLLOW-UP information incorporated above includes: On 04-Aug-2021: Follow up received contains patient race, ethnicity and patient was revaccinated

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2143891

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NE
Alter
52,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
22.06.2021
Beginn
22.07.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Gave patient expired dose of vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine) in a 52-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007D21A and 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Jul-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine). On 22-Jul-2021, EXPIRED PRODUCT ADMINISTERED (Gave patient expired dose of vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant product use was provided by the reporter. No treatment medication was provided Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: Follow-up information received included no new information. On 08-Aug-2021: Follow up information received contains significant information. Ethnicity and Race information of the patient added. Vaccination facility type updated.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2104396

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NY
Alter
-
Geschlecht
M
Eingang
11.02.2022
Impfdatum
04.02.2022
Beginn
04.02.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Patient got the first dose from an expired vial; This spontaneous case was reported by a consumer and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient got the first dose from an expired vial) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient got the first dose from an expired vial). On 04-Feb-2022, EXPIRED PRODUCT ADMINISTERED (Patient got the first dose from an expired vial) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant and treatment medications were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2096044

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
-
Alter
85,0
Geschlecht
F
Eingang
08.02.2022
Impfdatum
26.05.2021
Beginn
28.01.2022
Tage bis Beginn
247,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Event occurred after 2nd vaccine; breakthrough case.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
1/28/2022 COVID-19 positive.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2068974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NC
Alter
50,0
Geschlecht
F
Eingang
27.01.2022
Impfdatum
29.06.2021
Beginn
09.01.2022
Tage bis Beginn
194,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Unevaluable event

Symptomtext

Hospitalization

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2065645

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MN
Alter
59,0
Geschlecht
M
Eingang
26.01.2022
Impfdatum
05.06.2021
Beginn
25.01.2022
Tage bis Beginn
234,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Hypoxia

Symptomtext

Admitted for Hypoxia. Treatment includes: oxygen, Remdesivir, and Corticosteroids.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypoxia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Renal disease, HTN, Diabetes, CHF
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 2051009

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MI
Alter
37,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
04.08.2021
Beginn
17.01.2022
Tage bis Beginn
166,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 SARS-CoV-2 test positive

Symptomtext

Event occurred after 2nd dose. Patient was diagnosed with COVID Tylenol, Remdesivir In-patient

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
4,0
Labordaten
Covid test: Positive
Aktuelle Erkrankungen
-
Vorgeschichte
Spina bifida, High BP, Hydrocephalus (congenital), UTI, Ulcers in both extremities, paraplegia, visual impairment, colostomy in place
Andere Medikamente
-
Allergien
Codeine, Latex
Vorherige Impfungen
-

VAERS 1999435

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NJ
Alter
69,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
24.06.2021
Beginn
30.12.2021
Tage bis Beginn
189,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Confusional state Cough Decreased appetite Fall SARS-CoV-2 antibody test positive

Symptomtext

Pt reports difficulty eating and falling at home for approx 1 week. Pt denies cough but did cough occ during encounter. No SOB. No fever. Pt's sister states that she was with him on 12/24 and he seemed his normal self and was not sick. When she talked to him on phone 2 days ago he seemed more confused than baseline. .

Weitere VAERSDATA-Felder
Praegender Schweregrund
Confusional state
Hospital-Tage
4,0
Labordaten
12/30/2021 - SARS-COV-2 Antigen (++)
Aktuelle Erkrankungen
-
Vorgeschichte
Schizophrenia.
Andere Medikamente
clozapine 200 mg Tablet Directions: 1 tablet oral daily at bedtime (Active) divalproex (Depakote) 500 mg tablet,delayed release (DR/EC) Directions: 2 tablet oral daily at bedtime (Active)
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1996840

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
IN
Alter
32,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
02.06.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Menstruation delayed Menstruation irregular

Symptomtext

Period problems; Period problems; This spontaneous case was reported by a consumer and describes the occurrence of MENSTRUATION IRREGULAR (Period problems) and MENSTRUATION DELAYED (Period problems) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MENSTRUATION IRREGULAR (Period problems) and MENSTRUATION DELAYED (Period problems). At the time of the report, MENSTRUATION IRREGULAR (Period problems) and MENSTRUATION DELAYED (Period problems) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Patient's LMP was 06-Jun-2021 and got period on 26-Sep-2021. No concomitant medication was taken by patient regularly. No treatment medication was reported by reporter. This case was linked to MOD-2021-429683 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Menstruation delayed
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1996779

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
IN
Alter
32,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
02.06.2021
Beginn
01.07.2021
Tage bis Beginn
29,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Heavy menstrual bleeding Inappropriate schedule of product administration Menstruation delayed

Symptomtext

This spontaneous case was reported by a consumer and describes the occurrence of MENSTRUATION DELAYED (did not get a period up until 26Sep2021), HEAVY MENSTRUAL BLEEDING (they have their period, but is not stopping), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first Moderna vaccine dose was on 02Jun2021,the second dose was on 10Jul2021,) and HEAVY MENSTRUAL BLEEDING (lot of blood clots coming out) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048C21A and 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Jul-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first Moderna vaccine dose was on 02Jun2021,the second dose was on 10Jul2021,). In July 2021, the patient experienced MENSTRUATION DELAYED (did not get a period up until 26Sep2021). In September 2021, the patient experienced HEAVY MENSTRUAL BLEEDING (lot of blood clots coming out). On 26-Sep-2021, the patient experienced HEAVY MENSTRUAL BLEEDING (they have their period, but is not stopping). On 10-Jul-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first Moderna vaccine dose was on 02Jun2021,the second dose was on 10Jul2021,) had resolved. At the time of the report, MENSTRUATION DELAYED (did not get a period up until 26Sep2021), HEAVY MENSTRUAL BLEEDING (they have their period, but is not stopping) and HEAVY MENSTRUAL BLEEDING (lot of blood clots coming out) had not resolved. No concomitant medications was provided by the reporter. No treatment medications was provided by the reporter. This case was linked to MOD-2021-435458 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Heavy menstrual bleeding
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1943705

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
-
Alter
20,0
Geschlecht
F
Eingang
13.12.2021
Impfdatum
14.06.2021
Beginn
17.07.2021
Tage bis Beginn
33,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Unevaluable event

Symptomtext

Patient was hospitalized 33 days after receiving covid vaccine dose #2.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1914232

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
IN
Alter
60,0
Geschlecht
F
Eingang
01.12.2021
Impfdatum
23.06.2021
Beginn
30.06.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acoustic stimulation tests Tinnitus

Symptomtext

Extreme Tinnitus

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acoustic stimulation tests
Hospital-Tage
-
Labordaten
Office Visit 9-15-2021 Office Visit 9-23-2021 Audiology testing 11/4/2021
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Xanax .25mg, Lisinopril .5mg
Allergien
Latex
Vorherige Impfungen
-

VAERS 1840477

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
KY
Alter
53,0
Geschlecht
F
Eingang
03.11.2021
Impfdatum
24.06.2021
Beginn
01.11.2021
Tage bis Beginn
130,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asymptomatic COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient admitted to hospital unrelated to Covid-19 symptoms. Covid-19 virus detected Incidental finding, asymptomatic--denies cough, shortness of breath

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asymptomatic COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1830716

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ME
Alter
58,0
Geschlecht
M
Eingang
30.10.2021
Impfdatum
17.09.2021
Beginn
15.10.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered No adverse event

Symptomtext

not experienced any known symptoms or treatments; Dose expired on 13OCT2021 and was administered on 15OCT2021; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose expired on 13OCT2021 and was administered on 15OCT2021) and NO ADVERSE EVENT (not experienced any known symptoms or treatments) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 050E21A and 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose expired on 13OCT2021 and was administered on 15OCT2021). On an unknown date, the patient experienced NO ADVERSE EVENT (not experienced any known symptoms or treatments). On 15-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Dose expired on 13OCT2021 and was administered on 15OCT2021) had resolved. At the time of the report, NO ADVERSE EVENT (not experienced any known symptoms or treatments) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The caller wondered if the expiration date on the moderna vial, lot number 050E21A has been extended. A dose was administered on 15OCT2021, after the published expiration date of 13OCT2021. Concomitant medications was not provided by the reporter. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 26-Oct-2021: Non-significant followup information received email id updated

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1788272

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
FL
Alter
51,0
Geschlecht
M
Eingang
15.10.2021
Impfdatum
06.07.2021
Beginn
07.08.2021
Tage bis Beginn
32,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Ageusia Anosmia SARS-CoV-2 test

Symptomtext

Pt came to ER c/o loss of taste of smell onset day prior.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Ageusia
Hospital-Tage
-
Labordaten
Covid test
Aktuelle Erkrankungen
-
Vorgeschichte
DVT
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1765052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CO
Alter
71,0
Geschlecht
M
Eingang
06.10.2021
Impfdatum
29.06.2021
Beginn
01.10.2021
Tage bis Beginn
94,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Inappropriate schedule of product administration Influenza A virus test negative Influenza B virus test Respiratory syncytial virus test negative SARS-CoV-2 test positive

Symptomtext

Patient received their second dose of the Moderna COVID vaccine on 6/29/2021 (of note, their first dose of Moderna COVID vaccine was given on 5/22/2021, Lot #027C21A). The patient was admitted to the hospital on 10/1/2021 with COVID infection. As of 10/6/2021, the patient remains admitted to the hospital for treatment of COVID-19 infection.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
FLUVID test from 10/1/2021 indicates positive COVID-19 RNA (of note, test showed negative results for influenza A, influenza B, and RSV).
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Atrial fibrillation, GERD, hypertension, hyperlipidemia, multiple sclerosis, restless legs syndrome, seizures, history of stroke, kidney tumor, hypothyroidism, obstructive sleep apnea, BPH.
Andere Medikamente
Unknown
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1761384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
FL
Alter
65,0
Geschlecht
F
Eingang
05.10.2021
Impfdatum
09.06.2021
Beginn
05.10.2021
Tage bis Beginn
118,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Interchange of vaccine products No adverse event

Symptomtext

no Event or symptoms reported by patient. Went to 10/5/21 and saw she received Pfizer in feb/march 2021. Per patient no adverse events experienced.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
cancer patient
Vorgeschichte
cancer patient
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1735426

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
WI
Alter
45,0
Geschlecht
F
Eingang
25.09.2021
Impfdatum
10.06.2021
Beginn
11.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Menstruation irregular

Symptomtext

Started period a full week early

Weitere VAERSDATA-Felder
Praegender Schweregrund
Menstruation irregular
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Sjogrens Syndrome RA
Andere Medikamente
Pilocarpine Naproxen Cyclobenzaprine
Allergien
None
Vorherige Impfungen
-

VAERS 1708582

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
GA
Alter
16,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Vaccine was given to under aged patient. Patient was 16 years of age at the time.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1707340

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MS
Alter
32,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
23.06.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product dose omission issue

Symptomtext

got the first dose on 23Jun2021 and has not got second dose yet.; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (got the first dose on 23Jun2021 and has not got second dose yet.) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 23-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (got the first dose on 23Jun2021 and has not got second dose yet.). At the time of the report, PRODUCT DOSE OMISSION ISSUE (got the first dose on 23Jun2021 and has not got second dose yet.) outcome was unknown. patient reported Moderna vaccine first dose on 23Jun2021 and has not gotten the second dose yet. Caller inquires if they should start over the series or get the second dose now, Caller inquires where they could get the Moderna vaccine near their home. No Medical History Reported. No Concomitant medication Reported

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product dose omission issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1672484

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ID
Alter
12,0
Geschlecht
M
Eingang
04.09.2021
Impfdatum
10.08.2021
Beginn
10.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Vaccine administered to a 12-year-old patient; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine administered to a 12-year-old patient) in a 12-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine administered to a 12-year-old patient). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine administered to a 12-year-old patient) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Treatment information was not provided. Patient aged almost 13 years

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1663607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
LA
Alter
40,0
Geschlecht
F
Eingang
01.09.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Heavy menstrual bleeding

Symptomtext

Patient came to us and said that she received the Moderna vaccination series and has had menstrual bleeding that hasn't stopped since the first vaccine. She completed the series, but is still having this bleeding. She said that she is going to have to have surgery to fix this. She says that the doctor thinks it could be from the Moderna vaccine. She stated that she may have a pre-existing condition that causes this to happen.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Heavy menstrual bleeding
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1657261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
FL
Alter
37,0
Geschlecht
M
Eingang
30.08.2021
Impfdatum
19.07.2021
Beginn
19.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Interchange of vaccine products

Symptomtext

VACCINE ERROR. GAVE PATIENT MODERNA ON JULY 19,2021. VACCINE ENTERED INTO COMPUTER AND INTO THE STATE WAS PFIZER COVID19 VACCINE.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1644494

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NJ
Alter
15,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
07.08.2021
Beginn
07.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Mistakenly injected to 15 yr old; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Mistakenly injected to 15 yr old) in a 15-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Mistakenly injected to 15 yr old). On 07-Aug-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Mistakenly injected to 15 yr old) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1644146

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CA
Alter
81,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Pharmacist administered three shots from a vial left out at room temperature for roughly 20 hours; This spontaneous case was reported by a consumer and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Pharmacist administered three shots from a vial left out at room temperature for roughly 20 hours) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 30-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Pharmacist administered three shots from a vial left out at room temperature for roughly 20 hours). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Pharmacist administered three shots from a vial left out at room temperature for roughly 20 hours) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1643566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
VA
Alter
51,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
25.06.2021
Beginn
25.06.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Jun-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medications were provided No Treatment information provided Most recent FOLLOW-UP information incorporated above includes: On 29-Jun-2021: Follow up received on 29-JUN-2021 and Patient's Initial updated. On 16-Aug-2021: Non significant Follow up received.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1643562

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
VA
Alter
50,0
Geschlecht
M
Eingang
28.08.2021
Impfdatum
25.06.2021
Beginn
25.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Received a COVID-19 vaccine dose from a vial which have been punctured more than 12 hours) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment medications were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1640122

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NC
Alter
64,0
Geschlecht
M
Eingang
27.08.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Patient received vaccine affected by the excursion; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received vaccine affected by the excursion) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Jun-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jun-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received vaccine affected by the excursion). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received vaccine affected by the excursion) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered PRODUCT TEMPERATURE EXCURSION ISSUE (Patient received vaccine affected by the excursion) to be not related. The expiration date of lot # in question LOT: 009D21A was 02-Jul-2021 and the excursion event occurred on 09-Jun-2021. No concomitant medications information was provided. No treatment medications information was provided. Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: Follow Up received on 27 Jul 2021 contains Updated Causality of Events, lot expiration date. Expired product administered was removed..

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1639622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
AZ
Alter
51,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
16.06.2021
Beginn
16.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

administered first dose from vial punctured over 24 hours before; This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered first dose from vial punctured over 24 hours before) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered first dose from vial punctured over 24 hours before). On 16-Jun-2021, EXPIRED PRODUCT ADMINISTERED (administered first dose from vial punctured over 24 hours before) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant information was reported. Treatment information was not reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1639562

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
AZ
Alter
70,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
16.06.2021
Beginn
16.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

dose administered from a vial punctured over 24 hours before; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (dose administered from a vial punctured over 24 hours before) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (dose administered from a vial punctured over 24 hours before). On 16-Jun-2021 at 3:00 AM, EXPIRED PRODUCT ADMINISTERED (dose administered from a vial punctured over 24 hours before) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant product information reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1627317

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
41,0
Geschlecht
M
Eingang
24.08.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Device connection issue Underdose

Symptomtext

Syringe malfunction while administering the second dose; A large quantity of the vaccine came out of the syringe; This spontaneous case was reported by a pharmacist and describes the occurrence of DEVICE CONNECTION ISSUE (Syringe malfunction while administering the second dose) and UNDERDOSE (A large quantity of the vaccine came out of the syringe) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. Concomitant products included MULTIVITAMIN [VITAMINS NOS] for an unknown indication. On 12-Jun-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 12-Jun-2021, the patient experienced DEVICE CONNECTION ISSUE (Syringe malfunction while administering the second dose) and UNDERDOSE (A large quantity of the vaccine came out of the syringe). At the time of the report, DEVICE CONNECTION ISSUE (Syringe malfunction while administering the second dose) and UNDERDOSE (A large quantity of the vaccine came out of the syringe) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment information was not provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Device connection issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
MULTIVITAMIN [VITAMINS NOS]
Allergien
-
Vorherige Impfungen
-

VAERS 1621973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
IL
Alter
35,0
Geschlecht
F
Eingang
23.08.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administration error

Symptomtext

The vial was punctured and left out at room temperature over night./patient received an invalid dose; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTRATION ERROR (The vial was punctured and left out at room temperature over night./patient received an invalid dose) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCT ADMINISTRATION ERROR (The vial was punctured and left out at room temperature over night./patient received an invalid dose). At the time of the report, PRODUCT ADMINISTRATION ERROR (The vial was punctured and left out at room temperature over night./patient received an invalid dose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administration error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1586783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ID
Alter
12,0
Geschlecht
M
Eingang
19.08.2021
Impfdatum
10.08.2021
Beginn
10.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

administered at the age of 12 YEARS old

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1583333

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
WA
Alter
72,0
Geschlecht
F
Eingang
18.08.2021
Impfdatum
10.07.2021
Beginn
10.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Unevaluable event

Symptomtext

None

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Diabetic type 2
Andere Medikamente
None
Allergien
Cobalamine and Codeine
Vorherige Impfungen
-

VAERS 1575086

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
ME
Alter
78,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
16.08.2021
Beginn
16.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia

Symptomtext

after 5 minutes of receiving the shot, he felt weak. He stared at me without any response. He came out of it for a couple seconds then stared at me again without an response. We call 911 but the pt had fully recovered by the time they arrived. EMTs took vitals and pt left under his own power.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asthenia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1574063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
WA
Alter
17,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
12.07.2021
Beginn
12.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient did not experience adverse effect, this is a report of an error in administration of vaccine. Patient is under 18 years old received Moderna Vaccine. At the time of vaccination it was understood that in anyone 16 and older could receive Moderna. Since it was pointed out by the that it is not the case, our facility stopped vaccinating 16 to 18 year olds with Moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1536336

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
-
Alter
15,0
Geschlecht
F
Eingang
09.08.2021
Impfdatum
07.08.2021
Beginn
07.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

Patient mislead the vaccinator and was subsequently given Moderna though her age was not yet 18.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1526235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
WA
Alter
24,0
Geschlecht
M
Eingang
04.08.2021
Impfdatum
04.08.2021
Beginn
04.08.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Device connection issue Incorrect dose administered Syringe issue

Symptomtext

When administering the vaccine, the needle was not fully screwed into the syringes (must have come loose while removing the protective sheath. As I was administering the vaccine, some of the vaccine spilled out of the needle/syringe junction, resulting in the pt getting an incomplete dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Device connection issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1525369

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MN
Alter
47,0
Geschlecht
M
Eingang
04.08.2021
Impfdatum
28.06.2021
Beginn
28.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect product formulation administered Interchange of vaccine products

Symptomtext

Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1518362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
FL
Alter
57,0
Geschlecht
F
Eingang
31.07.2021
Impfdatum
02.07.2021
Beginn
03.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Axillary mass Lymphadenopathy

Symptomtext

Systemic: Lymph Node Swelling-Mild, Additional Details: underarm lump for 7 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Axillary mass
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1502758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21A

gering
Staat
IL
Alter
46,0
Geschlecht
F
Eingang
26.07.2021
Impfdatum
28.06.2021
Beginn
29.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Contusion Erythema

Symptomtext

Patient presented to pharmacy for 2nd covid dose informed me that when she received 1st dose her arm has red and bruised and it lasted for 5 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Contusion
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/a
Vorgeschichte
N/a
Andere Medikamente
N/A
Allergien
N/a
Vorherige Impfungen
-

VAERS 1498380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
OH
Alter
69,0
Geschlecht
F
Eingang
23.07.2021
Impfdatum
15.07.2021
Beginn
15.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Interchange of vaccine products

Symptomtext

The patient recieved the Pfizer vaccine as her first dose on 6/24/21. On 7/15/21 we administer the incorrect second Covid vaccine as Moderna instead of Pfzier. We followed CDC guidelines with educating the patient their were considered fully vaccinated after reciving two mRNA vaccines.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 1498172

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
FL
Alter
71,0
Geschlecht
F
Eingang
23.07.2021
Impfdatum
08.07.2021
Beginn
09.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acoustic stimulation tests Deafness unilateral Magnetic resonance imaging head

Symptomtext

On July 9th participant woke up and notice he was not hearing out of his left ear and he knew something was wrong. In his right ear he could still hear called an ENT to check it out they put him on a steroid to help it. The prescriptions didn't help he went back to the ENT on the 19th they gave him a shot in his ear drum. Stated he has no hearing in his left ear and its still bothering him.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acoustic stimulation tests
Hospital-Tage
-
Labordaten
MRI on the brain and hearing test The test didn't show anything.
Aktuelle Erkrankungen
-
Vorgeschichte
Diabetes
Andere Medikamente
Insulin, Cholesterol, and Blood pressure medicine
Allergien
-
Vorherige Impfungen
-

VAERS 1474817

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
NJ
Alter
34,0
Geschlecht
F
Eingang
15.07.2021
Impfdatum
06.07.2021
Beginn
08.07.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Alopecia

Symptomtext

pt reporting significant hair loss beginning 2 days after shot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Alopecia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1466774

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
VA
Alter
68,0
Geschlecht
F
Eingang
13.07.2021
Impfdatum
28.06.2021
Beginn
05.07.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Body temperature increased Erythema Eye swelling Swelling Vaccination complication Vaccine positive rechallenge

Symptomtext

The day after the shot, had "covid arm", as I had after first shot, but milder, redness/swelling, temp under 101...no problem.... then about a week later, left eye swelled shut, not conjunctivitis, it was my lid and my cheek. Is diminishing with time, no infection, it appears to be inflamation or allergic reaction. Strange, ugly, but more curious than anything. No vision changes, still somewhat... swollen and red (orangey), but not like first couple days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Body temperature increased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Amilodipine lipator
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1463584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MS
Alter
79,0
Geschlecht
F
Eingang
11.07.2021
Impfdatum
02.07.2021
Beginn
11.07.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypersensitivity Post-acute COVID-19 syndrome Skin reaction

Symptomtext

"COVID Arm" developed 9 Days after initial dose at injection site. Hypersensitivity skin reaction.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypersensitivity
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
NONE
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
NKA
Vorherige Impfungen
-

VAERS 1460135

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
OH
Alter
47,0
Geschlecht
M
Eingang
09.07.2021
Impfdatum
02.07.2021
Beginn
09.07.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration No adverse event

Symptomtext

Patient received 2nd Moderna Covid vaccine 3 weeks apart instead of the recommended 4 weeks apart. No adverse events reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1460057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
AL
Alter
61,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
24.06.2021
Beginn
24.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration No adverse event

Symptomtext

Patient did not have any adverse events, however, she did receive the two immunizations 14 days apart rather than the recommended 28 days. She did not have her vaccine card with her and the dates were not verified prior to administration.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1446872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
PR
Alter
83,0
Geschlecht
F
Eingang
05.07.2021
Impfdatum
05.07.2021
Beginn
05.07.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Interchange of vaccine products

Symptomtext

Pt received vaccine from Pfizer on 6/14/21 and came in at 3 weeks for her second dose, but MODERNA was given by mistake. Pt 30 minutes after the vaccine was given she felt fine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
-
Vorgeschichte
Hypertension; Thyroid (hypothyroidism).
Andere Medikamente
-
Allergien
None
Vorherige Impfungen
-

VAERS 1446376

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
73,0
Geschlecht
F
Eingang
03.07.2021
Impfdatum
29.06.2021
Beginn
01.06.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Contusion

Symptomtext

Patient came to pharmacy to show us her bruised arm, 5 days after her first Moderna dose. I assured her that it was a common side effect and she acknowledged that she had also been told beforehand.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Contusion
Hospital-Tage
-
Labordaten
none that we are aware of
Aktuelle Erkrankungen
according to consent form, none
Vorgeschichte
according to consent form, none
Andere Medikamente
none that we are aware of (patient's son stated that he was going to try arnica for the bruise on his mother's arm)
Allergien
penicillin
Vorherige Impfungen
-

VAERS 1443611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
67,0
Geschlecht
M
Eingang
02.07.2021
Impfdatum
02.07.2021
Beginn
02.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Vision blurred

Symptomtext

Patient was experiencing blurry vision approximately 15 minutes after receiving the 2nd dose of the moderna COVID-19 vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vision blurred
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Zolpidem
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1443469

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
UT
Alter
30,0
Geschlecht
F
Eingang
02.07.2021
Impfdatum
25.06.2021
Beginn
26.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Adverse reaction Blood test normal Chest X-ray Chest discomfort Electrocardiogram normal

Symptomtext

Mild to moderate chest pressure, directly center of chest, under sternum. Woke up with all other normal side effects the day after the second dose, plus had this chest pressure. Is the only side effect still lingering after 7 days now. Not causing shortness of breath when resting, but does when doing previously normal activities.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Adverse reaction
Hospital-Tage
-
Labordaten
Chest x-ray, normal EKG, normal Blood Work looking for signs of inflammation and/or myocarditis, normal
Aktuelle Erkrankungen
Sinus infection 2-3 weeks prior
Vorgeschichte
None
Andere Medikamente
None
Allergien
Gluten
Vorherige Impfungen
-

VAERS 1441072

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CA
Alter
19,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered No adverse event

Symptomtext

Moderna vaccine was administered at 7hr and 15min after recommended 12-hr BUD time after first needle puncture. Bottle was kept at room temperature during this time. Patient was contacted 6 hours after receiving the vaccine and did not report any side effects at the time. A subsequent follow-up with patient was attempted the following day (today) but we were unable to reach patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
Not indicated
Vorgeschichte
None on pharmacy profile
Andere Medikamente
None on pharmacy profile
Allergien
None on pharmacy profile
Vorherige Impfungen
-

VAERS 1440976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CA
Alter
39,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Vaccine was administered to patient at 7-8 hours past the recommended 12-hr BUD (after first puncture). Attempted to contact patient for follow-up monitoring but phone number provided had no voicemail option.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
none indicated
Vorgeschichte
non listed on pharmacy record profile
Andere Medikamente
tizanidine, topamax, levothyroxine, metformin
Allergien
none listed on pharmacy record profile
Vorherige Impfungen
-

VAERS 1440598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
OK
Alter
59,0
Geschlecht
F
Eingang
01.07.2021
Impfdatum
20.06.2021
Beginn
21.06.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Nasal congestion Rhinorrhoea

Symptomtext

Swelling of nose, constant dripping, stuffy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nasal congestion
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
OBESITY TOOTH PROBLEMS
Andere Medikamente
Levothyroxin 25MCG TAB ALY. 1 TAB 1X-DAY LISINOPRIL/HCTZ 10-12.5MG TAB LEG. 1 TAB 1X-DAY LOVASTATIN 20MG TAB LEG. 1 TAB 1X-DAY CARVEDILOL 6.25MG TAB AUR. 1 TAB 1X-DAY.
Allergien
AMLODIPINE LODINE
Vorherige Impfungen
-

VAERS 1438431

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
LA
Alter
21,0
Geschlecht
M
Eingang
30.06.2021
Impfdatum
30.06.2021
Beginn
30.06.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered

Symptomtext

PT RECEIVED A THIRD DOSE BY MISTAKE WANTED TO REPORT THE 3RD DOSE

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1437788

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21a

gering
Staat
-
Alter
58,0
Geschlecht
F
Eingang
30.06.2021
Impfdatum
02.06.2021
Beginn
02.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Peripheral swelling

Symptomtext

patient said she had swelling in the left arm for two weeks. patient put on the ice pack and swelling went away

Weitere VAERSDATA-Felder
Praegender Schweregrund
Peripheral swelling
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1437226

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
HI
Alter
64,0
Geschlecht
F
Eingang
30.06.2021
Impfdatum
29.06.2021
Beginn
29.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration No adverse event

Symptomtext

Error: Booster Given Too Early-

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1433903

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
AZ
Alter
38,0
Geschlecht
M
Eingang
29.06.2021
Impfdatum
17.05.2021
Beginn
08.06.2021
Tage bis Beginn
22,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Ageusia Anosmia Bowel movement irregularity Decreased appetite

Symptomtext

Loss of smell, taste, and appetite. Unusual bowel movements. Future date will make a month of these occurring symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Ageusia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Ibuprofen
Allergien
None
Vorherige Impfungen
-

VAERS 1431418

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MN
Alter
60,0
Geschlecht
F
Eingang
28.06.2021
Impfdatum
25.06.2021
Beginn
26.06.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cyst Erythema Lymphadenopathy

Symptomtext

PATIENT STATES SHE HAS A RED ARM THAT EXTENDS INTO HER SHOULDER BLADE AND DOWN TO HER ELBOW. SHE FEELS AS THOUGH HER LYMPH NODES ARE SWOLLEN IN HER ARM AND NECK AND SHE FEELS FLUID FILLED PATCHES (CYSTS) DOWN BY HER ELBOWS. I ADVISED HER TO CONTACT HER DR.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cyst
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
MULTIVITAMIN, CALCIUM
Allergien
PENICILLIN ALLERGY
Vorherige Impfungen
-

VAERS 1431001

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NJ
Alter
60,0
Geschlecht
M
Eingang
28.06.2021
Impfdatum
23.06.2021
Beginn
26.06.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Musculoskeletal stiffness

Symptomtext

Patient reported having stiff neck a few days after he received his 2nd vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Musculoskeletal stiffness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1429949

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
KS
Alter
18,0
Geschlecht
M
Eingang
26.06.2021
Impfdatum
02.06.2021
Beginn
02.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

No reported adverse event- 2nd dose given out of CDC guidelines. 2nd dose was administered at 21 days, instead of 28. The patient reports having no issues with either vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none reported
Allergien
none
Vorherige Impfungen
-

VAERS 1422055

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
OK
Alter
84,0
Geschlecht
F
Eingang
23.06.2021
Impfdatum
11.06.2021
Beginn
11.06.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered No adverse event

Symptomtext

Patient came in to get covid shot but did not tell that she already had two Pfizer shots. Daughter called today to notify pharmacy that she already had her covid shots and that she had some dementia, so probably didn't remember to tell us that she already had them. No adverse reaction up to this point.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
hypertension, nausea,peptic ulcer
Vorgeschichte
hypertension, nausea,peptic ulcer
Andere Medikamente
unknown
Allergien
none
Vorherige Impfungen
-

VAERS 1420124

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
AL
Alter
-
Geschlecht
U
Eingang
23.06.2021
Impfdatum
06.06.2021
Beginn
06.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Deafness

Symptomtext

hearing loss; This spontaneous case was reported by a pharmacist and describes the occurrence of DEAFNESS (hearing loss) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009D21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Jun-2021, the patient experienced DEAFNESS (hearing loss) (seriousness criterion medically significant). At the time of the report, DEAFNESS (hearing loss) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. Treatment drug information was not given. The consumer received the first dose of the Moderna Covid-19 vaccine on 06Jun2021 and experienced hearing loss that was still ongoing. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deafness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1417877

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MA
Alter
29,0
Geschlecht
F
Eingang
22.06.2021
Impfdatum
22.06.2021
Beginn
22.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

First COVID-19 vaccination given on 4/21/2021, second dose given after recommended interval. Both doses were Moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1416011

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
68,0
Geschlecht
M
Eingang
21.06.2021
Impfdatum
21.06.2021
Beginn
-
Tage bis Beginn
-
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration

Symptomtext

The patient got his first does of Moderna on 6/16/2021. He got another dose today, 6/21/2021, by mistake. No other complain

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 1414572

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MA
Alter
33,0
Geschlecht
F
Eingang
21.06.2021
Impfdatum
02.05.2021
Beginn
17.05.2021
Tage bis Beginn
15,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood loss anaemia Full blood count abnormal Heavy menstrual bleeding

Symptomtext

I had a very heavy period on May 17th after my first vaccine. I did my blood test on June 17th. I was diagnosed with Anemia as I lost a lot of blood.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Blood loss anaemia
Hospital-Tage
-
Labordaten
I can provide a CBC blood test result
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
No
Vorherige Impfungen
-

VAERS 1413122

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
TX
Alter
14,0
Geschlecht
F
Eingang
19.06.2021
Impfdatum
19.06.2021
Beginn
19.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

the patient presented her sisters id . Due to communication issues and pt looking slimiar to id we assumed the id was hers. After patient immunized they brought back the imz card stating we had the wrong date of birth. I paged patient and she stated that infact she presented an id with the dob that we thought was hers. So it was a 14 yo getting the imz.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 1408241

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
PA
Alter
28,0
Geschlecht
M
Eingang
17.06.2021
Impfdatum
09.06.2021
Beginn
17.06.2021
Tage bis Beginn
8,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Pt did not show for second appt and upon contacting him- his family indicated that he got it last week. Dose 1 was 5/20/21- he got dose 2 on 6/9/21-- closer than the 28 day schedule. ( No known ADR beyond dosing at lesser interval)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
chron's
Andere Medikamente
-
Allergien
latex
Vorherige Impfungen
-

VAERS 1407100

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
KS
Alter
55,0
Geschlecht
F
Eingang
17.06.2021
Impfdatum
16.06.2021
Beginn
16.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration

Symptomtext

Dose 2 of the vaccine was administered before 4-day grace period. Per CDC website, if second dose of vaccine is given fewer than 24 days after first dose for Moderna (earlier than 4 day grace period), do NOT repeat dose. Per at Moderna, she confirmed this info. Info was relayed to patient that another dose is not needed per CDC and Moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1397050

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
KS
Alter
36,0
Geschlecht
F
Eingang
14.06.2021
Impfdatum
08.06.2021
Beginn
12.06.2021
Tage bis Beginn
4,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Menstruation delayed Vaginal haemorrhage

Symptomtext

Patient called to report that she believes the second dose of her Moderna Covid shot has delayed her menstrual cycle. According to the patient, her menstrual cycle is very precise and she should have started on Saturday, June 6/12/2021. She has only spotted the last three days and that is very unusual for her. She also reports she is sexual active and not on any birth control. She was planning on calling her OB, after speaking with me because she was concerned that she may also be pregnant. Unknown the result of that conversation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Menstruation delayed
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none reported by patient
Vorgeschichte
thyroid cancer, ADHD, back pain
Andere Medikamente
Wellbutrin, robaxin, oxycodone, loratadine
Allergien
sulfa- rash hydrocodone- rash
Vorherige Impfungen
-

VAERS 1395076

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CA
Alter
53,0
Geschlecht
M
Eingang
13.06.2021
Impfdatum
13.06.2021
Beginn
13.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Burning sensation Feeling hot Parosmia Peripheral swelling Taste disorder

Symptomtext

Patient complained of burning, hot feeling running up his arm about 10 mins after receiving the IM vaccine. Also complained of "plastic" smelling and taste in his mouth at the same time. Patient then complained left arm and hand were more swollen than right arm. (Difficult to tell because patient was "heavy set with large thick arms"). He stated no difficulty breathing. Offered him Benadryl 25mg and water, which he accepted. After 30 mins he said he felt better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Burning sensation
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none known
Vorgeschichte
Asthma
Andere Medikamente
Unknow
Allergien
seafood,pecans,walnuts
Vorherige Impfungen
-

VAERS 1394524

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
41,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
12.06.2021
Beginn
12.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Syringe issue

Symptomtext

While giving the patient their 2nd dose of the vaccine, the syringe malfunctioned and the vaccine dripped down the patient's arm. Moderna manufacturer was immediately contacted and was informed that if less that half of the dose was administered, then another full dose is to be administered immediately in the opposite arm. Discussed the manufacturer's response with the patient and gave the patient the full dose in the opposite arm. Patient waited in pharmacy area for 15 minutes after vaccination. No adverse reactions were reported by patient while patient waited in the pharmacy area after vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
multivitamin
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1394320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
NC
Alter
51,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
02.06.2021
Beginn
02.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

2nd dose was administered on 6-2-21. It was supposed to be given 6-12-21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
None
Vorgeschichte
Smoker
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1392067

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
CO
Alter
14,0
Geschlecht
M
Eingang
11.06.2021
Impfdatum
10.06.2021
Beginn
10.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

UNDERAGE VACCINATION

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE REPORTED
Vorgeschichte
NONE REPORTED
Andere Medikamente
NONE REPORTED
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1389225

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
FL
Alter
16,0
Geschlecht
M
Eingang
10.06.2021
Impfdatum
10.06.2021
Beginn
01.06.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Product administered to patient of inappropriate age

Symptomtext

No Adverse events occurred , Vaccine given to the wrong age group.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 1388592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
VA
Alter
21,0
Geschlecht
F
Eingang
10.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Dysgeusia Lip swelling Swollen tongue Throat irritation

Symptomtext

During her 15 minute, post vaccination wait, the left side of her bottom lip began to swell. Then the swelling progressed to the right side of her bottom lip. She did not tell anyone at the clinic about this. Within the hour, she had also developed swelling under her tongue, around frenulum. Also had swelling under her top lip, where lip attaches to gum. Also had metallic taste in her mouth and throat was itchy. These symptoms are the same exact symptoms she gets when she has an allergic reaction to cold substances that she eats/drinks (she has cold urticaria for which she carries an Epipen). She notified me at approximately 2pm. She said lip swelling had decreased some by that time but other symptoms still present. I had her take 50mg of benadryl. That helped reduce symptoms further but they were still present. At urgent care, she was given decadron IM, told to use benadryl 50mg every 6 hours x 24 hours, and given RX for prednisone 50mg x 5 days. She already takes zyrtec daily. Within an hour of the decadron injection, symptoms improved further. As of 1300 on June 10, symptoms are resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dysgeusia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
sinus infection: diagnosed approximately 2 weeks prior to vaccination and treated with Z-pack
Vorgeschichte
cold urticaria Keratosis pylaris varicose veins
Andere Medikamente
Zoloft 75mg daily Melatonin 5mg at bedtime daily Zyrtec 10mg once daily Calcium supplement multi-vitamin Mirilax 1 capful daily Probiotic
Allergien
Cold urticaria: carries Epipen
Vorherige Impfungen
-

VAERS 1385997

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MA
Alter
17,0
Geschlecht
F
Eingang
09.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

under 17 vaccinated at medical center. Here for second.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1385930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
MA
Alter
21,0
Geschlecht
M
Eingang
09.06.2021
Impfdatum
09.06.2021
Beginn
09.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Device connection issue Syringe issue

Symptomtext

During vaccination, the need to syringe connection came apart and the vaccine spilled out. The patient was subsequently vaccinated with a full dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Device connection issue
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1381977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
TX
Alter
45,0
Geschlecht
F
Eingang
08.06.2021
Impfdatum
07.06.2021
Beginn
07.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect product formulation administered

Symptomtext

Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1376322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009d21a

gering
Staat
GA
Alter
44,0
Geschlecht
F
Eingang
06.06.2021
Impfdatum
06.06.2021
Beginn
06.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Immunisation Needle issue Vaccination error

Symptomtext

I went to administer the vaccine, but the needle was not tightly screwed onto the syringe and the patient did not receive the dose (it came out of the syringe at the needle hub). I drew up another dose in a new syringe and administered that dose to the patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Immunisation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1359024

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
-
Alter
16,0
Geschlecht
M
Eingang
28.05.2021
Impfdatum
28.05.2021
Beginn
28.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

second dose vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
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VAERS 1337821

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 009D21A

gering
Staat
ID
Alter
26,0
Geschlecht
M
Eingang
21.05.2021
Impfdatum
21.05.2021
Beginn
21.05.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Throat irritation

Symptomtext

Patient received first dose of Moderna COVID vaccine about 35 minutes before presentation to doctor. He started feeling scratchiness in his throat after about 10-15 minutes. He did not feel like his throat was closing off. Nor was any worse since it first started. He has had anaphylaxis with shellfish in the past and carries an EpiPen. He said it does not feel like that now. Feels like he needs some Benadryl. Patient told the pharmacy tech that he thought this might be moreso anxiety (after reading the paperwork). Did not feel like other reactions he has had in the past.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anxiety
Hospital-Tage
-
Labordaten
Vitals monitored, saw doctor upon physical exam.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Shellfish, tree nuts
Vorherige Impfungen
-